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1760868962
EMMELINE SHORT
COLUMBIA, SC
NPI
1760868962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19681)
Enumeration Date
2015-08-11
Last Update Date
2021-04-27
Business Address
EMMELINE SHORT
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203-6896
Phone number: 803-434-6771
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Mailing Address
EMMELINE SHORT
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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