# SHORELINE PRIMARY CARE AND WELLNESS

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

## Provider details

- **NPI number:** 1770317182
- **Authorized official:** MELISSA K EMMERICH (OWNER)
- **Authorized official phone:** (443) 366-5215

## Contact information

- **Practice address:** 1302 WOODLAND RD, SALISBURY, MD 21801-6735
- **Practice address phone:** (443) 366-5215
- **Mailing address:** 12901 OLD BRIDGE RD APT 3, OCEAN CITY, MD 21842-9785
- **Mailing address phone:** (443) 366-5215

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 08/28/2024