Hunter Grant Shore, Physician Assistant
Physician Assistant in Lenoir, NC. Individual provider (NPI-1).
NPI number1649989757
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1649989757
- Entity type
- Individual (NPI-1)
- Name
- Hunter Grant Shore
- Credential
- Physician Assistant
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2022
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1041 Morganton Blvd Sw Ste 100Lenoir, NC 28645-5605
Phone 828-323-2460
Mailing address
1041 Morganton Blvd Sw # 100Lenoir, NC 28645-5605
Phone 828-323-2460
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All 24 Physician Assistant providers in Lenoir · All 765 providers in Lenoir
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