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Jackie D Shorter, PAC
Family Medicine Physician in Pineville, West Virginia
NPI 1871676874

Jackie D Shorter is a Family Medicine Physician based in Pineville, WV. Jackie D Shorter practices in Pineville, WV and has the professional credentials of PAC. The NPI Number for Jackie D Shorter is 1871676874 and holds a License No. 299 (West Virginia).

The current practice location address for Jackie D Shorter is 1650 Main Street, Pineville, WV and can be reached out via phone at 304-732-6735 and via fax at 304-732-9218.

Location: 1650 Main Street, Pineville, WV, 24874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871676874
Provider Name
Jackie D Shorter
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1650 Main Street, Pineville, WV, 24874
Phone Number
304-732-6735
Fax Number
304-732-9218
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810000497 05 WV
institution
Provider Business Practice Location Address Details
Address
1650 Main Street
City
Pineville
State
West Virginia
Zip
24874
Phone Number
304-732-6735
Fax Number
304-732-9218
person
Provider Business Mailing Address Details
Address
1650 Main Street
City
Pineville
State
West Virginia
Zip
24874
Phone Number
304-732-6735
Fax Number
304-732-9218
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
299 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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