Lillian Carla Shores PA-C

NPI 1073538245 - Physician Assistant - 363AM0700X

NPI Details
NPI 1073538245
Gender Female
Enumeration Date 07/12/2006
Last Updated 08/03/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1202 MEDICAL CENTER DR
WILMINGTON NC, 28401-7307, US
Phone (910) 341-3300
Fax (910) 251-2067
Business Location
1202 MEDICAL CENTER DR
WILMINGTON NC, 28401-7307, US
Phone (910) 341-3300
Fax (910) 763-0291
Toxanomy
Taxonomy Code 363AM0700X
License State Virginia
License Number 0110001555
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According to our database, Lillian Carla Shores PA-C NPI is 1073538245, taxonomy code is 363AM0700X and license number is 0110001555, license state is located at Virginia. Lillian Carla Shores PA-C physically located at 1202 Medical Center Dr, Wilmington NC, 28401-7307. NPI Number Lillian Carla Shores PA-C has the Individual type.

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1073538245 NPI number is provided on an as is basis without warranty of any kind. 1073538245 is maintained by the National Plan & Provider Enumeration System. The contents of Lillian Carla Shores PA-C are for informational purposes only.