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Dr. Shane R Mull, MD
Family Medicine Physician in Columbia, South Carolina
NPI 1699786079

Shane R Mull is a Family Medicine Physician based in Blythewood, SC. Shane R Mull practices in Columbia, SC and has the professional credentials of MD. The NPI Number for Shane R Mull is 1699786079 and holds a License No. 23962 (South Carolina).

The current practice location address for Shane R Mull is 3209 Colonial Dr, Columbia, SC and can be reached out via phone at 803-434-6113 and via fax at 803-434-7231.

Location: 3209 Colonial Dr, Columbia, SC, 29016-8325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699786079
Provider Name
Shane R Mull
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3209 Colonial Dr, Columbia, SC, 29016-8325
Phone Number
803-434-6113
Fax Number
803-434-7231
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LL4378 05 SC
institution
Provider Business Practice Location Address Details
Address
3209 Colonial Dr
City
Columbia
State
South Carolina
Zip
29203-6930
Phone Number
803-434-6113
Fax Number
803-434-7231
person
Provider Business Mailing Address Details
Address
3209 Colonial Dr
City
Columbia
State
South Carolina
Zip
29203-6930
Phone Number
803-434-6113
Fax Number
803-434-7231
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
23962 (South Carolina)
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 physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
23962 (South Carolina)
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 is not limited by age, sex, organ system, or disease entity.
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