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NPI Code Detail

MEDICARE: NEW HORIZON

MEDICARE: NEW HORIZON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305R00000XPreferred Provider OrganizationGA

General Provider Information

NPI Number : 1003267352
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HORIZON
Provider Business Mailing Address
First Line : 6200 BRADLEY PARK DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3078
Country : US
Telephone Number : 706-221-2024
Fax Number :
Provider Business Practice Location Address
First Line : 6200 BRADLEY PARK DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3078
Country : US
Telephone Number : 706-221-2024
Fax Number :
Authorized Official
Title or Position : CASE MANAGER
Name : NIKITA T HAWKINS
Credential : PP
Telephone Number : 706-221-2024
Provider Enumeration Date : 06/28/2016
Last Update Date : 08/08/2016

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Directions to “NEW HORIZON ” Practice Location

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