Jeffrey Keith Short in Mount Pleasant - Diagnostic Radiology

Jeffrey Keith Short - NPI 1538110663

Jeffrey Keith Short is a Diagnostic Radiology in Mount Pleasant, South Carolina. Jeffrey Keith Short practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jeffrey Keith Short is 1538110663. The last update date is 2008-07-14.

Jeffrey Keith Short's current location address is 1241 Woodland Avenue, Mount Pleasant, South Carolina. You can contact this provider via phone number 8438240606 and fax number 8438240909. The mailing address for Jeffrey Keith Short is 1241 Woodland Avenue, Mount Pleasant, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Keith Short
Address 1241 Woodland Avenue, Mount Pleasant, South Carolina
Phone Number 8438240606
Fax Number 8438240909
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1538110663
Provider Enumeration Date 2006-05-13
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 1241 Woodland Avenue
City Mount Pleasant
State South Carolina (SC)
Post Code 29464
Phone Number 8438240606
Fax Number 8438240909

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 21549
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
215494 SC --
300128417 MEDICARE RR

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FAQs about Jeffrey Keith Short

What is the unique provider identifier assigned to Jeffrey Keith Short?

The Jeffrey Keith Short has been issued the NPI (National Provider Identifier) 1538110663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Jeffrey Keith Short is physically located?

The Jeffrey Keith Short is physically situated at the following address: 1241 Woodland Avenue, Mount Pleasant, SC, 29464.

What is Jeffrey Keith Short's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeffrey Keith Short's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1538110663 to Jeffrey Keith Short?

The Centers for Medicare & Medicaid Services assigned the 1538110663 to Jeffrey Keith Short on 2006-05-13.

As of what date were the details related to Jeffrey Keith Short most recently updated or revised?

The information pertaining to Jeffrey Keith Short, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-14.

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