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NPI Code Detail

MEDICARE: MS. AMY MARIE HORTON PA-C

MEDICARE: MS. AMY MARIE HORTON PA-C
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
1363A00000XPhysician Assistant0010-03283NC

Other Identifiers

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

General Provider Information

NPI Number : 1881966257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY MARIE HORTON PA-C
Provider Business Mailing Address
First Line : 3801 WAKE FOREST RD STE 210
Second Line :
City : RALEIGH
State : NC
Zip : 27609-6864
Country : US
Telephone Number : 919-787-7246
Fax Number : 919-787-7247
Provider Business Practice Location Address
First Line : 510 TIMBER DR E STE 105
Second Line :
City : GARNER
State : NC
Zip : 27529-5285
Country : US
Telephone Number : 919-787-7246
Fax Number : 919-787-7247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2012
Last Update Date : 06/14/2021

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