Individual
MRS. CYNTHIA K SHORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2005-01544
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902492
—
NC
Enumeration date
10/04/2006
Last updated
04/12/2013
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