Individual
MS. KAREN ELIZABETH SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
274 BIG A RD, TOCCOA, GA 30577
(706) 886-3169
(706) 282-5371
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN148855
GA
363LF0000X
Family Nurse Practitioner
RN148855
GA
Other
Enumeration date
07/21/2011
Last updated
03/03/2021
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