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Organization

SHORE HEALTH SERVICES, INC

Active
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Organization

SHORE HEALTH SERVICES, INC

Active
Parent organization
SHORE HEALTH SERVICES, INC
Other names
Shore Gastroenterology
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHORE HEALTH SERVICES, INC
Authorized official
ELIZABETH TEASLEY (BILLING SUPERVISOR)
(757) 414-8054
Entity
Organization

Contact information

Practice address
9524 HOSPITAL AVENUE, NASSAWADOX, VA 23413
(757) 414-8054
Mailing address
PO BOX 811, NASSAWADOX, VA 23413-0811
(757) 414-8054

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
02/20/2009
Last updated
07/13/2009
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