Individual
DR. JEFFREY EDWARD SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
KIMBROUGH AMBULATORY CARE CENTER, LLEWELLYN RD, FT MEADE, MD 20755
(301) 677-5069
Mailing address
1630 STREAM VALLEY OVERLOOK, SEVERN, MD 21144-1175
(410) 305-0232
(410) 305-0232
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4996
AK
Other
Enumeration date
07/14/2006
Last updated
04/26/2024
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