Healthcare Provider Details

I. General information

NPI: 1366443368
Provider Name (Legal Business Name): HORIZONS DIAGNOSTICS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3934 WOODRUFF RD
COLUMBUS GA
31904-6818
US

IV. Provider business mailing address

106 ENTERPRISE CT SUITE C
COLUMBUS GA
31904-9227
US

V. Phone/Fax

Practice location:
  • Phone: 706-321-0476
  • Fax: 706-327-0870
Mailing address:
  • Phone: 706-321-0476
  • Fax: 706-321-2508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateGA

VIII. Authorized Official

Name: MS. BARBARA B BUTLER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MSM
Phone: 706-321-0476