Healthcare Provider Details

I. General information

NPI: 1174534499
Provider Name (Legal Business Name): JAMES LAWRENCE HORWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 CHADWICK SQUARE CT STE A
HENDERSONVILLE NC
28739-3238
US

IV. Provider business mailing address

110 CHADWICK SQUARE CT STE A
HENDERSONVILLE NC
28739-3238
US

V. Phone/Fax

Practice location:
  • Phone: 828-698-8135
  • Fax: 828-698-8518
Mailing address:
  • Phone: 828-698-8135
  • Fax: 828-698-8518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number38357
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number38357
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: