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Individual

DR. JIMMIE BLAKE SHULER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2501 S MEBANE ST, BURLINGTON, NC 27215-6235
(336) 228-7337
(336) 222-0293
Mailing address
PO BOX 647, HOPE MILLS, NC 28348-0647
(910) 483-7337
(910) 483-0648

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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