Individual
MR. JEFFERY PRESTON SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8 REGIONAL CIR, PINEHURST, NC 28374-9796
(910) 215-5555
Mailing address
8 REGIONAL CIR, PINEHURST, NC 28374-9796
(910) 215-5555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001427
VA
363A00000X
Physician Assistant
Primary
102646
NC
Other
Enumeration date
12/14/2005
Last updated
04/30/2021
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