Healthcare Provider Details

I. General information

NPI: 1497705040
Provider Name (Legal Business Name): HORIZON ORTHOPEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 08/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 HENSLEE DR
DICKSON TN
37055-2166
US

IV. Provider business mailing address

415 HENSLEE DR
DICKSON TN
37055-2166
US

V. Phone/Fax

Practice location:
  • Phone: 615-446-7003
  • Fax: 615-446-9987
Mailing address:
  • Phone: 615-446-7003
  • Fax: 615-446-9987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CHUCK LOCKE
Title or Position: VP
Credential:
Phone: 615-373-7604