Shivers, Leilani Gyening

Shivers, Leilani Gyening is an individual health care provider with primary practice located at 710 Center St , Columbus GA 31901-1527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shivers, Leilani Gyening can be contacted via phone (706) 571-1454.

Contact Information

Primary practice address
710 Center St Columbus GA 31901-1527
Fax: (706) 660-2750
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 057507 Georgia

Profile Details

NPI number 1285691642
LBN Legal business name Shivers, Leilani Gyening
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jan 29th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285691642 NPPES
Georgia MEDICAID 399581263A

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