Organization
RIVERSIDE GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SHORT MD (PRESIDENT)
(256) 260-2333
Entity
Organization
Contact information
Practice address
1304 SOMERVILLE RD SE, DECATUR, AL 35601-4354
(256) 260-2333
(256) 260-2336
Mailing address
1304 SOMERVILLE RD SE, DECATUR, AL 35601-4354
(256) 260-2333
(256) 260-2336
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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