| Shoreline Family Medicine, Pc | |
|
275 N Highway 16 Suite 104 Denver NC 28037-3000 | |
| (704) 489-0365 | |
| (704) 489-0351 |
| Full Name | Shoreline Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 275 N Highway 16, Denver, North Carolina |
| Authorized Official Name and Position | Vesna Tomovich (PRESIDENT) |
| Authorized Official Contact | 7044890365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Family Medicine, Pc 275 N Highway 16 Suite 104 Denver NC 28037-3000 Ph: (704) 489-0365 | Shoreline Family Medicine, Pc 275 N Highway 16 Suite 104 Denver NC 28037-3000 Ph: (704) 489-0365 |
| NPI Number | 1558573527 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558573527 | NPI | - | NPPES |
| 8913708 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Carolina) | Primary |
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