James H Shull Md Pc in Memphis - General Practice

James H Shull Md Pc - NPI 1053470021

James H Shull Md Pc is a General Practice in Memphis, Tennessee. James H Shull Md Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for James H Shull Md Pc is 1053470021. The last update date is 2012-01-11.

James H Shull Md Pc's current location address is 2900 Kirby Rd, Memphis, Tennessee. You can contact this provider via phone number 9017570655 and fax number 9017571608. The mailing address for James H Shull Md Pc is 2900 Kirby Rd, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization James H Shull Md Pc
Address 2900 Kirby Rd, Memphis, Tennessee
Phone Number 9017570655
Fax Number 9017571608
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Shull Herbert James
Credentials MD
Telephone Number 9017570655

NPI Number Detail

NPI Number 1053470021
Provider Enumeration Date 2006-12-06
Last Updated Date 2012-01-11

Provider Mailing Address Detail

Address 2900 Kirby Rd
City Memphis
State Tennessee (TN)
Post Code 38119
Phone Number 9017570655
Fax Number 9017571608

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No MD17329
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64667 TN BLUE CROSS TN

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FAQs about James H Shull Md Pc

What is the unique identifier code issued to James H Shull Md Pc by the Centers for Medicare & Medicaid Services (CMS)?

The James H Shull Md Pc has been assigned the NPI (National Provider Identifier) 1053470021. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the James H Shull Md Pc's physical address?

The James H Shull Md Pc is physically located at 2900 Kirby Rd, in the city of Memphis, TN, with the postal code 38119.

What is James H Shull Md Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for James H Shull Md Pc is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053470021 to James H Shull Md Pc?

The Centers for Medicare & Medicaid Services originally issued the 1053470021 to James H Shull Md Pc on 2006-12-06.

As of what date was the information regarding James H Shull Md Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to James H Shull Md Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-11.

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