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Individual

SARAH PRUITT SHORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
104 KNOX CT STE 100, DAVIDSON, NC 28036-0590
(704) 892-5454
(704) 892-5858
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(919) 237-1337
(919) 237-1625

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011775
NC

Other

Enumeration date
05/27/2019
Last updated
10/10/2023
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