EMMELINE SHORT

COLUMBIA, SC
NPI1760868962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  19681)
Enumeration Date2015-08-11
Last Update Date2021-04-27
Business Address
EMMELINE SHORT
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203-6896
Phone number: 803-434-6771
Mailing Address
EMMELINE SHORT
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320