TERESA YOLANDA SHIVERS LICENSES NPI 1629715180

NPI Information

NPI: 1629715180
Provider Name: TERESA YOLANDA SHIVERS, LICENSES
Classification: Clinic/Center - 261Q00000X
Entity Type: Individual
Address:
1124 UNCLE BUD RD
ORANGEBURG, SC
ZIP 29115
Phone: (803) 707-7016
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Teresa Yolanda Shivers, LICENSES is a clinic center in Orangeburg, SC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). Teresa Yolanda Shivers, LICENSES NPI is 1629715180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1124 UNCLE BUD RD
ORANGEBURG, SC
ZIP 29115-130
Phone: (803) 707-7016

The enumeration date for this NPI number is 5/17/2022 and was last updated on 5/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		42D2254381	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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