Search › South Carolina › 103TC1900X
Jack Shortridge, ED.D
NPI 1811103468 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5300 International Blvd
Webster University
N Charleston, SC 29418 - Phone
- (843) 760-1324
- Fax
- (843) 760-1153
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Also registered as
- 106H00000X
- Licence states on file
- KY, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina