person
Mr. Samuel Mark Shores, FNP-BC
Family Nurse Practitioner in Matthews, North Carolina
NPI 1992477020

Samuel Mark Shores is a Family Nurse Practitioner based in Charlotte, NC and is specialized in Family. Samuel Mark Shores practices in Matthews, NC and has the professional credentials of FNP-BC. The NPI Number for Samuel Mark Shores is 1992477020 and holds a License No. 5015329 (North Carolina).

The current practice location address for Samuel Mark Shores is 630 Matthews Township Pkwy, Matthews, NC and can be reached out via phone at 704-495-6020 and via fax at 844-620-0793.

Location: 630 Matthews Township Pkwy, Matthews, NC, 28210-3113
person
Provider Profile Details
NPI Number
1992477020
Provider Name
Samuel Mark Shores
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
630 Matthews Township Pkwy, Matthews, NC, 28210-3113
Phone Number
704-495-6020
Fax Number
844-620-0793
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992477020 01 NC 5015329
institution
Provider Business Practice Location Address Details
Address
630 Matthews Township Pkwy
City
State
Zip
28105-5322
Phone Number
704-495-6020
Fax Number
844-620-0793
person
Provider Business Mailing Address Details
Address
630 Matthews Township Pkwy
City
State
Zip
28105-5322
Phone Number
704-495-6020
Fax Number
844-620-0793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5015329 (North Carolina)
Definition
Definition to come...
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