Organization
JAMES H SHULL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HERBERT SHULL MD (PRESIDENT)
(901) 757-0655
Entity
Organization
Contact information
Practice address
2900 KIRBY RD, SUITE 1, MEMPHIS, TN 38119
(901) 757-0655
(901) 757-1608
Mailing address
2900 KIRBY RD, SUITE 1, MEMPHIS, TN 38119
(901) 757-0655
(901) 757-1608
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD17329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064667
BLUE CROSS TN
TN
Enumeration date
12/06/2006
Last updated
01/11/2012
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