Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shane R Mull, MD

Individual provider Emergency Medicine Physician · NPI 1699786079

Dr. Shane R Mull, MD is an Emergency Medicine Physician in Columbia, South Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2006.

Licensed in
NC, SC
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3209 Colonial Dr Usc- Family & Preventive Medicine
Columbia, SC 29203-6930
Phone: (803) 434-6113
Fax: (803) 434-7231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23962 (SC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 23962 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2009-01329 (NC)

Record details

NPI number1699786079
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESMarch 26, 2015

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