Healthcare Provider Details

I. General information

NPI: 1891506622
Provider Name (Legal Business Name): AARON ALLEN HORTON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GREEN HILLS DR
VERONA VA
24482-2654
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-245-7425
  • Fax: 540-245-7430
Mailing address:
  • Phone: 540-332-5168
  • Fax: 540-332-5875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110010668
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: