Healthcare Provider Details

I. General information

NPI: 1700815271
Provider Name (Legal Business Name): CLAUDIUS OSBORNE SHULER III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 RICHLAND MEDICAL PARK DR SUITE 110
COLUMBIA SC
29203-6859
US

IV. Provider business mailing address

PO BOX 743904
ATLANTA GA
30374-3904
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-7940
  • Fax: 803-434-2262
Mailing address:
  • Phone: 803-296-7303
  • Fax: 803-293-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number14515
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: