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Teresa Yolanda Shivers, LICENSES
Clinic/Center in Orangeburg, South Carolina
NPI 1629715180

Teresa Yolanda Shivers is a Clinic/Center based in Orangeburg, SC. Teresa Yolanda Shivers practices in Orangeburg, SC and has the professional credentials of LICENSES. The NPI Number for Teresa Yolanda Shivers is 1629715180 and holds a License No. 42D2254381 (South Carolina).

The current practice location address for Teresa Yolanda Shivers is 1124 Uncle Bud Rd, Orangeburg, SC and can be reached out via phone at 803-707-7016.

Location: 1124 Uncle Bud Rd, Orangeburg, SC, 29115-8130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629715180
Provider Name
Teresa Yolanda Shivers
Credential
LICENSES
Provider Entity Type
Individual
Gender
Female
Address
1124 Uncle Bud Rd, Orangeburg, SC, 29115-8130
Phone Number
803-707-7016
Fax Number
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1124 Uncle Bud Rd
City
Orangeburg
State
South Carolina
Zip
29115-8130
Phone Number
803-707-7016
Fax Number
person
Provider Business Mailing Address Details
Address
1124 Uncle Bud Rd
City
Orangeburg
State
South Carolina
Zip
29115-8130
Phone Number
803-707-7016
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
42D2254381 (South Carolina)
Definition
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).
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