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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417173378 NPPES
South Carolina MEDICAID 363840
South Carolina Other SC3543

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