Individual
DR. NATHAN JOSEPH SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1962 CHARLIE HALL BLVD, CHARLESTON, SC 29414
(843) 722-8000
(843) 647-6066
Mailing address
2001 2ND AVE STE 101, SUMMERVILLE, SC 29486-7887
(843) 793-5182
(843) 266-5125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20070312
NC
207RG0100X
Gastroenterology Physician
Primary
36384
SC
207RG0100X
Gastroenterology Physician
MD.204530
LA
207RT0003X
Transplant Hepatology Physician
MD.204530
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363840
—
SC
01
—
SC3543
UPIN
SC
Enumeration date
04/18/2007
Last updated
03/18/2020
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