| James H Shull Md Pc | |
|
2900 Kirby Rd Suite 1 Memphis TN 38119 | |
| (901) 757-0655 | |
| (901) 757-1608 |
| Full Name | James H Shull Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 2900 Kirby Rd, Memphis, Tennessee |
| Authorized Official Name and Position | James Herbert Shull (PRESIDENT) |
| Authorized Official Contact | 9017570655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James H Shull Md Pc 2900 Kirby Rd Suite 1 Memphis TN 38119 Ph: (901) 757-0655 | James H Shull Md Pc 2900 Kirby Rd Suite 1 Memphis TN 38119 Ph: (901) 757-0655 |
| NPI Number | 1053470021 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053470021 | NPI | - | NPPES |
| 0064667 | Other | TN | BLUE CROSS TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD17329 (Tennessee) | Primary |
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