Ethel Caroline Shore, PA-C

NPI #1114434990 in Wake Forest, North Carolina

Provider Information

NPI Number
1114434990
Entity Type
Individual
Name
Ethel Caroline Shore, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
PA-C
Enumeration Date
Jan 3, 2018
Last Updated
Feb 28, 2019

Practice Location

Address
3150 ROGERS RD STE 101
ZIP Code
27587
Phone
(919) 504-4000

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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