Provider Demographics
NPI:1487245023
Name:GILYARD, SHEBREKA M
Entity type:Individual
Prefix:
First Name:SHEBREKA
Middle Name:M
Last Name:GILYARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 SUMMER LAKE RD APT 8301
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-3881
Mailing Address - Country:US
Mailing Address - Phone:229-206-2616
Mailing Address - Fax:
Practice Address - Street 1:2580 SUMMER LAKE RD APT 8301
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-3881
Practice Address - Country:US
Practice Address - Phone:229-206-2616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-27
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty