MEDICARE: HORIZON MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363L00000X	Nurse Practitioner
2	207Q00000X	Family Medicine Physician
3	363A00000X	Physician Assistant
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1346186681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	29 LITTLE NASSAU ST STE 102
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-5267
Country	:	US
Telephone Number	:	704-231-4571
Fax Number	:

Provider Business Practice Location Address
First Line	:	6969 GLENMEADOW LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3001
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	:	04/28/2026
Last Update Date	:	05/06/2026

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Directions to “HORIZON MEDICAL CORPORATION ” Practice Location

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