NPI 1093821019

Stefanie Lee Shaver, MD

Practitioner Aerospace Medicine Physician Columbus, MS

Practice location

Address: Koritz Clinic 201 Independence Drive, Columbus, MS 39710-7139
Phone: (662) 434-2292
Mailing address: 201 Independence Drive Koritz Clinic, Columbus, MS 39710-7594

Registered specialties (4)

Aerospace Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 56647 (GA)

Other Preventive Medicine providers in Mississippi →

Sports Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 056647 (GA)

Other Family Medicine providers in Mississippi →

Military Health Care Provider

Other Service Providers Taxonomy 171000000X Licence 56647 (GA)

Other Military Health Care Provider providers in Mississippi →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 056647 (GA)

Registry record

NPI: 1093821019
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2006
Record last updated: 29 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.