Organization
SHORT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE SHORT MD (OWNER)
(225) 242-9019
Entity
Organization
Contact information
Practice address
500 RUE DE LA VIE ST STE 310, BATON ROUGE, LA 70817-5128
(225) 242-9019
Mailing address
9618 JEFFERSON HWY STE D149, BATON ROUGE, LA 70809-9636
(225) 242-9019
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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