| NPI | 1225675861 |
|---|---|
| Doing Business As | SHORELINES |
| Entity Type | Organization |
| Authorized Contact | MEREDITH D'AGOSTINO Practice Owner 843-619-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-09-08 |