Shane R Mull in Blythewood - Emergency Medicine

Shane R Mull - NPI 1699786079

Shane R Mull is a Emergency Medicine in Blythewood, South Carolina. Shane R Mull practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Shane R Mull is 1699786079. The last update date is 2015-03-26.

Shane R Mull's current location address is 234 Westlake Farms Dr, Blythewood, South Carolina. You can contact this provider via phone number 8039179333. The mailing address for Shane R Mull is 234 Westlake Farms Dr, Blythewood, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Shane R Mull
Address 234 Westlake Farms Dr, Blythewood, South Carolina
Phone Number 8039179333
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699786079
Provider Enumeration Date 2006-08-10
Last Updated Date 2015-03-26

Provider Mailing Address Detail

Address 234 Westlake Farms Dr
City Blythewood
State South Carolina (SC)
Post Code 290168325
Phone Number 8039179333
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 23962
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LL4378 SC --

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FAQs about Shane R Mull

What is the unique 10-digit identification code assigned to Shane R Mull by the Centers for Medicare & Medicaid Services?

The Shane R Mull has been issued the NPI (National Provider Identifier) 1699786079, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Shane R Mull is physically located?

The Shane R Mull is situated at the following address: 234 Westlake Farms Dr, Blythewood, SC 290168325.

What is Shane R Mull's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shane R Mull is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.

When did the Shane R Mull receive its 1699786079?

The Shane R Mull was issued its 1699786079 on 2006-08-10, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Shane R Mull, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shane R Mull, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-26.

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