SAMUEL MARK SHORES

MATTHEWS, NC
NPI1992477020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5015329)
Enumeration Date2021-09-28
Last Update Date2023-01-27
Business Address
Mr. SAMUEL MARK SHORES FNP-BC
630 MATTHEWS TOWNSHIP PKWY
MATTHEWS, NC 28105-5322
Phone number: 704-495-6020
Mailing Address
Mr. SAMUEL MARK SHORES FNP-BC
5960 FAIRVIEW RD STE 500
CHARLOTTE, NC 28210-3113
Phone number: 704-495-6324
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