Shane R Mull is a Family Medicine in Blythewood, South Carolina. Shane R Mull practices all healthcare services and medical treatments related to Family 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 |
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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 |
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Provider Enumeration Date | 2006-08-10 |
Last Updated Date | 2015-03-26 |
Provider Mailing Address Detail
Address | 234 Westlake Farms Dr |
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City | Blythewood |
State | South Carolina (SC) |
Post Code | 290168325 |
Phone Number | 8039179333 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 23962 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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LL4378 | SC | -- |
Post Comment/ Review Below
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 Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
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.