Individual
DR. YANCY S SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 CARRIAGE DR, BECKLEY, WV 25801-2806
(304) 255-1541
Mailing address
101 BILL BAKER WAY, BECKLEY, WV 25801-1505
(304) 253-2628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16555
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004522000
—
WV
01
—
P01600108
MEDICARE RAILROAD
WV
Enumeration date
09/29/2005
Last updated
03/05/2026
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