Individual
DR. JASON G SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
2014-01354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245468685
—
NC
01
—
189AB
BCBS NC
NC
01
—
2014-01354
NC LICENSE
NC
Enumeration date
06/24/2009
Last updated
06/05/2024
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