Joan K Short MD

NPI 1619178449 - Pediatrics - 2080H0002X

NPI Details
NPI 1619178449
Gender Female
Enumeration Date 05/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
705 NORTH 8TH AVE. SUITE 3
DILLON SC, 29536, US
Phone (843) 774-6091
Fax (843) 841-3814
Business Location
6301 KENNETT PIKE
WILMINGTON DE, 19807-1036, US
Phone (302) 425-0839
Fax
Toxanomy
Taxonomy Code 2080H0002X
License State South Carolina
License Number 11791
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According to our database, Dr. Joan K Short MD NPI is 1619178449, taxonomy code is 2080H0002X and license number is 11791, license state is located at South Carolina. Joan K Short MD physically located at 705 North 8th Ave. Suite 3, Dillon SC, 29536. NPI Number Joan K Short MD has the Individual type.

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1619178449 NPI number is provided on an as is basis without warranty of any kind. 1619178449 is maintained by the National Plan & Provider Enumeration System. The contents of Joan K Short MD are for informational purposes only.