Individual
DR. DOUGLAS B SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3521 HAWORTH DR, RALEIGH, NC 27609-7216
(919) 782-1806
(919) 782-4756
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-1669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200500114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1392J
BCBS
NC
01
—
2537921
UNITED HEALTHCARE
—
01
—
5036915
CIGNA
—
05
—
5902904
—
NC
01
—
E3160
MEDCOST
—
01
—
P00282364
RAILROAD MEDICARE
—
Enumeration date
02/07/2007
Last updated
02/10/2010
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