Provider Demographics
NPI:1578565958
Name:SHULER, VANN BETH MYERS (MD)
Entity Type:Individual
Prefix:DR
First Name:VANN BETH
Middle Name:MYERS
Last Name:SHULER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 HUTTO ST NE
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118-1454
Mailing Address - Country:US
Mailing Address - Phone:803-531-3911
Mailing Address - Fax:803-531-2666
Practice Address - Street 1:1205 HUTTO ST NE
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-1454
Practice Address - Country:US
Practice Address - Phone:803-531-3911
Practice Address - Fax:803-531-2666
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7399Medicare PIN
SCAA37973426Medicare UPIN
B920442923Medicare PIN
SC5677Medicare PIN