Search › Mississippi › 207Q00000X
Jason Shives, MD
NPI 1083942338 · on the registry since 2009
Practice
- Address
- 102 Shelby Speights Dr
Purvis, MS 39475 - Phone
- (601) 794-8065
- Fax
- (601) 794-5650
- Organisation at this address
- Hattiesburg Clinic Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
207P00000X
390200000X - Licence states on file
- FL, PA, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi