Individual
CAROLINE SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
476 JADE DR, MARTINEZ, GA 30907-9465
(301) 233-4502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012938
GA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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