Teresa Yolanda Shivers, LICENSES
NPI #1629715180 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1629715180
- Entity Type
- Individual
- Name
- Teresa Yolanda Shivers, LICENSES
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Medical Laboratory
- Credential
- LICENSES
- Enumeration Date
- May 17, 2022
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 1124 UNCLE BUD RD
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29115-8130
- Phone
- (803) 707-7016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinical Medical Laboratory |
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