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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