Individual
CHARLES GRAY SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2797 NC 55 HWY, CARY, NC 27519-6206
(866) 389-2727
Mailing address
145 PETREE RD, WINSTON SALEM, NC 27106-4401
(866) 579-5103
(866) 616-0686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005420
NC
Other
Enumeration date
11/15/2011
Last updated
04/28/2017
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