Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA YOLANDA SHIVERS, LICENSES
Active Sole ProprietorTERESA YOLANDA SHIVERS, LICENSES is a Clinical Medical Laboratory healthcare provider located in ORANGEBURG, South Carolina. NPI 1629715180 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · ORANGEBURG, SC
Registration Details
- NPI Number
- 1629715180
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2022 (4.2687392907188 yrs)
- Last Updated
- Aug 19, 2024
- License
-
42D2254381 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1124 UNCLE BUD RDORANGEBURG, SC, 291158130Browse SC providers · Browse ZIP 29115
- Phone
- 8037077016
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
- Additional Specialty
- Clinical Medical Laboratory
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.