MEDICARE: DR. MARSHALL JASPER SHULER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	29083	SC

General Provider Information

NPI Number	:	1043335219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHALL JASPER SHULER M.D.

Provider Business Mailing Address
First Line	:	5 STEVENS ST STE 300
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4528
Country	:	US
Telephone Number	:	864-233-6338
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 ENTERPRISE BLVD STE 202
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3554
Country	:	US
Telephone Number	:	864-233-6338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	11/10/2025

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