Individual
RILEY LANDON SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-2983
(901) 448-4795
Mailing address
853 JEFFERSON AVE RM E102, MEMPHIS, TN 38103-2804
(901) 448-4795
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2020
Last updated
04/12/2023
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