MEDICARE: DR. WILLIAM L HORTON DO

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	207R00000X	Internal Medicine Physician	43963	GA

General Provider Information

NPI Number	:	1144292798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM L HORTON DO

Provider Business Mailing Address
First Line	:	110 BATTLEFIELD CROSSING CT
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5176
Country	:	US
Telephone Number	:	706-861-0004
Fax Number	:	706-861-0050

Provider Business Practice Location Address
First Line	:	2009 OLD LAFAYETTE RD
Second Line	:
City	:	FORT OGLETHORPE
State	:	GA
Zip	:	30742-3510
Country	:	US
Telephone Number	:	706-866-5520
Fax Number	:	706-657-2958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	09/27/2022

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