# SHORELINE WELLNESS AND PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376244707
- **Authorized official:** MELISSA EMMERICH (MANAGING MEMBER)
- **Authorized official phone:** (667) 288-3063

## Contact information

- **Practice address:** 314 FRANKLIN AVE STE 301, BERLIN, MD 21811-1238
- **Practice address phone:** (410) 513-4046
- **Mailing address:** 314 FRANKLIN AVE STE 301, BERLIN, MD 21811-1238
- **Mailing address phone:** (667) 288-3063
- **Mailing address fax:** (833) 471-3424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 04/30/2024