MEDICARE: HORIZON MOLECULAR MEDICINE

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	291U00000X	Clinical Medical Laboratory	044-146	GA
2	291U00000X	Clinical Medical Laboratory	11D07033990
3	207SG0201X	Clinical Genetics (M.D.) Physician
4	207SG0202X	Clinical Biochemical Genetics Physician
5	207SM0001X	Molecular Genetic Pathology (Medical Genetics) Physician
6	2084P0005X	Neurodevelopmental Disabilities Physician

General Provider Information

NPI Number	:	1437118205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON MOLECULAR MEDICINE

Provider Business Mailing Address
First Line	:	1 DUNWOODY PARK
Second Line	:	SUITE 250
City	:	ATLANTA
State	:	GA
Zip	:	30338-7404
Country	:	US
Telephone Number	:	678-225-0222
Fax Number	:	678-225-0212

Provider Business Practice Location Address
First Line	:	1 DUNWOODY PARK
Second Line	:	SUITE 250
City	:	ATLANTA
State	:	GA
Zip	:	30338-7404
Country	:	US
Telephone Number	:	678-225-0222
Fax Number	:	678-225-0212

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN SHOFFNER
Credential	:	MD
Telephone Number	:	678-225-0222

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	09/11/2025

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Directions to “HORIZON MOLECULAR MEDICINE ” Practice Location

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