Individual
DR. LOUISE JOY SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 FARMBROOKE CT, ATLANTA, GA 30350-5662
(404) 664-9203
Mailing address
225 FARMBROOKE CT, ATLANTA, GA 30350-5662
(404) 664-9203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35518
GA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
35518
GA
2083P0901X
Public Health & General Preventive Medicine Physician
35518
GA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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