Healthcare Provider Details

I. General information

NPI: 1437118205
Provider Name (Legal Business Name): HORIZON MOLECULAR MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DUNWOODY PARK SUITE 250
ATLANTA GA
30338-7404
US

IV. Provider business mailing address

1 DUNWOODY PARK SUITE 250
ATLANTA GA
30338-7404
US

V. Phone/Fax

Practice location:
  • Phone: 678-225-0222
  • Fax: 678-225-0212
Mailing address:
  • Phone: 678-225-0222
  • Fax: 678-225-0212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207SG0202X
TaxonomyClinical Biochemical Genetics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207SM0001X
TaxonomyMolecular Genetic Pathology (Medical Genetics) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number044-146
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number11D07033990
License Number State

VIII. Authorized Official

Name: DR. JOHN SHOFFNER
Title or Position: PRESIDENT
Credential: MD
Phone: 678-225-0222