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Individual

GLORI S SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
806 ST. VINCENT'S DRIVE, SUITE 500, BIRMINGHAM, AL 35205
(205) 930-1800
(205) 930-1818
Mailing address
806 ST. VINCENT'S DRIVE, SUITE 500, BIRMINGHAM, AL 35205
(205) 930-1800
(205) 930-1818

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00020844
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000035787
AL
01
160046351
MEDICARE SECONDARY
AL
01
51035787
BC BS OF AL
AL
01
5578454
AETNA
AL
01
7410125
UNITED HEALTHCARE
AL
Enumeration date
07/26/2006
Last updated
01/09/2013
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