Jason Lee Shives, MD

NPI #1083942338 in Purvis, Mississippi

Provider Information

NPI Number
1083942338
Entity Type
Individual
Name
Jason Lee Shives, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Nov 25, 2009
Last Updated
Nov 3, 2021

Practice Location

Address
102 SHELBY SPEIGHTS DR
City
Purvis
ZIP Code
39475-4151
Phone
(601) 794-8065

Specialties & Taxonomy Codes

Specialty
Emergency Medicine
Student in an Organized Health Care Education/Training Program
Family Medicine

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