Individual
MR. DENNIS JAMES SHORT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1942 NORTH AVE, COLUMBUS, GA 31901-1525
(706) 596-1245
(706) 576-4245
Mailing address
1942 NORTH AVE, COLUMBUS, GA 31901-1525
(706) 596-1245
(706) 576-4245
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1463
GA
Other
Enumeration date
10/25/2006
Last updated
04/21/2011
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