Individual
DR. SHELLEY CRONIN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3510 ANDERSON HWY STE A, POWHATAN, VA 23139-5846
(804) 598-3100
(804) 556-6526
Mailing address
3510 ANDERSON HWY STE A, POWHATAN, VA 23139-5846
(804) 598-3100
(804) 598-2965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101052979
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005628105
—
VA
01
—
112758
BCBS(ANTHEM)
VA
05
—
1275502429
—
VA
Enumeration date
03/17/2006
Last updated
03/07/2023
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