MEDICARE: HORIZON MEDICAL, P.A.

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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1003764432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON MEDICAL, P.A.

Provider Business Mailing Address
First Line	:	7111 ANCHORAGE LN
Second Line	:
City	:	TEGA CAY
State	:	SC
Zip	:	29708-8523
Country	:	US
Telephone Number	:	704-231-4571
Fax Number	:

Provider Business Practice Location Address
First Line	:	7111 ANCHORAGE LN
Second Line	:
City	:	TEGA CAY
State	:	SC
Zip	:	29708-8523
Country	:	US
Telephone Number	:	704-231-4571
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WASEEM GHANNAM
Credential	:	MD
Telephone Number	:	704-231-4571

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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