Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Teresa Yolanda Shivers, LICENSES

Individual provider Clinic/Center · NPI 1629715180

Teresa Yolanda Shivers, LICENSES is a Clinic/Center in Orangeburg, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1124 Uncle Bud Rd
Orangeburg, SC 29115-8130
Phone: (803) 707-7016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Clinic/Center Taxonomy 261Q00000X · Licence 42D2254381 (SC)

Record details

NPI number1629715180
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSES
Sole proprietorYes
NPI enumeratedMay 17, 2022
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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