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
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587
- Phone
- (919) 504-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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