Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Myra Shivers

Individual provider Periodontics · NPI 1235355017

Dr. Myra Shivers is a Periodontics in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

118 N Park Dr
Fayetteville, GA 30214-1645
Phone: (770) 460-6765
Fax: (770) 460-5598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 9975 (GA)

Record details

NPI number1235355017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing address118 N Park Dr, Fayetteville, GA 30214-1645

Other providers in Fayetteville