Individual
JENNIFER SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
69 JESSE HILL JR DR SE, GLENN MEMORIAL BUILDING, ROOM 302D, ATLANTA, GA 30303-3033
(404) 251-8914
(404) 523-3931
Mailing address
69 JESSE HILL JR DR SE, GLENN MEMORIAL BUILDING, ROOM 302D, ATLANTA, GA 30303-3033
(404) 251-8914
(404) 523-3931
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7935
GA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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