Shores, Nathan Joseph
Shores, Nathan Joseph is an individual health care provider with primary practice located at 1962 Charlie Hall Blvd , Charleston SC 29414. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Shores, Nathan Joseph can be contacted via phone (843) 722-8000.Contact Information
Primary practice address
1962 Charlie Hall Blvd
Charleston SC 29414
Phone: (843) 722-8000
Fax: (843) 647-6066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20070312 | North Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD.204530 | Louisiana |
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | MD.204530 | Louisiana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 36384 | South Carolina |
Profile Details
| NPI number | 1417173378 |
|---|---|
| LBN Legal business name | Shores, Nathan Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Mar 18th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417173378 | NPPES |
| South Carolina | MEDICAID | 363840 | |
| South Carolina | Other | SC3543 |
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