Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethel Caroline Shore, PA-C

Individual provider Internal Medicine Physician · NPI 1114434990

Ethel Caroline Shore, PA-C is an Internal Medicine Physician in Wake Forest, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3150 Rogers Rd Ste 101
Wake Forest, NC 27587
Phone: (919) 504-4000
Fax: (984) 235-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 138 Dublin Square Rd Ste B, Asheboro, NC 27203-8601 — (336) 610-1300

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0010-07550 (NC)

Record details

NPI number1114434990
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2018
Last updated in NPPESFebruary 28, 2019

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