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Organization
SHORELINE FAMILY MEDICINE, PC
Active
Organization
SHORELINE FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VESNA TOMOVICH MD (PRESIDENT)
(704) 489-0365
Entity
Organization
Contact information
Practice address
275 N HIGHWAY 16, SUITE 104, DENVER, NC 28037-3000
(704) 489-0365
(704) 489-0351
Mailing address
275 N HIGHWAY 16, SUITE 104, DENVER, NC 28037-3000
(704) 489-0365
(704) 489-0351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913708
—
NC
Enumeration date
05/04/2007
Last updated
08/22/2020
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