Search › South Carolina › 207Q00000X
Shane Mull, M.D
NPI 1699786079 · on the registry since 2006
Practice
- Address
- 3209 Colonial Dr
Usc- Family & Preventive Medicine
Columbia, SC 29203 - Phone
- (803) 434-6113
- Fax
- (803) 434-7231
- Organisation at this address
- University Specialty Clinic
Palmetto Health - University Of South Carolina Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 90
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
207Q00000X - Licence states on file
- SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina