Individual
ALFRED SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
(740) 592-1191
Mailing address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
(740) 592-1191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.127571.MEDS-IV
OH
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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