MEDICARE: JOSHUA HORNIG MD

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	27013	SC
2	207Y00000X	Otolaryngology Physician	27013	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518070135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA HORNIG MD

Provider Business Mailing Address
First Line	:	9228 MEDICAL PLAZA DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29406-9125
Country	:	US
Telephone Number	:	843-574-5693
Fax Number	:	843-764-4512

Provider Business Practice Location Address
First Line	:	9228 MEDICAL PLAZA DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29406-9125
Country	:	US
Telephone Number	:	843-574-5693
Fax Number	:	843-764-4512

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	02/16/2022

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