Individual
LEILANI GYENING SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1454
(706) 660-2750
Mailing address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1454
(706) 660-2750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057507
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399581263A
—
GA
Enumeration date
04/28/2006
Last updated
01/29/2010
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