Provider Demographics
NPI:1720041064
Name:SHULL, NANCY BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:BETH
Last Name:SHULL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4750 WATERS AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6200
Mailing Address - Country:US
Mailing Address - Phone:912-350-5915
Mailing Address - Fax:912-350-5930
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-350-5915
Practice Address - Fax:912-350-5930
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2007-08-10
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Provider Licenses
StateLicense IDTaxonomies
GA0322962080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine