National Provider Identifier Database

TO OUR SHORES INC
Primary Care


Contact Information

TO OUR SHORES, INC
250 LANGLEY DR STE 1101
LAWRENCEVILLE, GA30046-6932
Phone: 770-954-5997
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for TO OUR SHORES, INC

NPI Number 1639749054
Legal business name
LBN
TO OUR SHORES, INC
Authorized official MIYESHA CHEEKS - (EXECUTIVE DIRECTOR/FNP)
Entity Organization
Organization subpart No
Enumeration date 06/28/2021
Last updated 06/29/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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