MEDICARE: MORGAN JOY SHORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1245192962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN JOY SHORT

Provider Business Mailing Address
First Line	:	2777 GLENKENCHIE CT NW
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-8808
Country	:	US
Telephone Number	:	217-855-4122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2777 GLENKENCHIE CT NW
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-8808
Country	:	US
Telephone Number	:	217-855-4122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ MORGAN JOY SHORT ” Practice Location

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