person
Tracee Chavawn Short, MD
Student in an Organized Health Care Education/Training Program in Baton Rouge, Louisiana
NPI 1780813311

Tracee Chavawn Short is a Student in an Organized Health Care Education/Training Program based in Baton Rouge, LA. Tracee Chavawn Short practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Tracee Chavawn Short is 1780813311 and holds a License No. E-6871 (Louisiana).

The current practice location address for Tracee Chavawn Short is 3401 North Blvd, Baton Rouge, LA and can be reached out via phone at 225-381-2615 and via fax at 225-381-2638. You can also correspond with Tracee Chavawn Short through the mailing address at 8490 PICARDY AVE, BATON ROUGE, LA - 70809-3731 (mailing address contact number: 225-237-1754).

Location: 3401 North Blvd, Baton Rouge, LA, 70809-3731
person
Provider Profile Details
NPI Number
1780813311
Provider Name
Tracee Chavawn Short
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3401 North Blvd, Baton Rouge, LA, 70809-3731
Phone Number
225-381-2615
Fax Number
225-381-2638
Provider Enumeration Date
07/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
324582YUB6 01 LA MEDICARE PTAN
2347799 05 LA
institution
Provider Business Practice Location Address Details
Address
3401 North Blvd
City
State
Zip
70806-3743
Phone Number
225-381-2615
Fax Number
225-381-2638
person
Provider Business Mailing Address Details
Address
8490 Picardy Ave
City
State
Zip
70809-3731
Phone Number
225-237-1754
Fax Number
225-237-1722
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
E-6871 (Arkansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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