Ethel C. Shore, PA-C
Internal Medicine · Wake Forest, NC
UnclaimedPA-CNPI 1114434990
- Primary taxonomy
- 207R00000X
- Enumerated
- 2018-01-03
- Practice location
- Wake Forest, NC
- Last NPPES update
- 2019-02-28
State licenses
- NC · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.