Individual
DR. JIMMIE BLAKE SHULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26470
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1241187
WELLPATH
NC
01
—
12800373
PHCS-MULTIPLAN
NC
01
—
1578690350
HEALTHSMART
NC
05
—
1578690350
—
NC
01
—
233112
MEDCOST, LLC
NC
01
—
3645665
COVENTRY NATIONAL - COVENTRY PPO
NC
01
—
5718038
GREATWEST/CIGNA
NC
01
—
5744106
AETNA
NC
01
—
679436
UNITED HEALTHCARE
NC
01
—
76052
BLUECROSS AND BLUESHIELD
NC
05
—
8976052
—
NC
01
—
FH1101635
FIRST CAROLINA CARE
NC
Enumeration date
02/27/2007
Last updated
06/03/2016
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