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Individual

MACKENZIE E SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 N ELM ST, 3RD FLOOR, SUITE 3509, GREENSBORO, NC 27401-1004
(336) 832-2835
Mailing address
1200 N ELM ST, 3RD FLOOR, SUITE 3509, GREENSBORO, NC 27401-1004
(336) 832-4380

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-00411
NC
208000000X
Pediatrics Physician
2013-00411
NC
208M00000X
Hospitalist Physician
2013-00411
NC

Other

Enumeration date
05/22/2009
Last updated
08/27/2013
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