Provider Demographics
NPI:1144292798
Name:HORTON, WILLIAM L (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:L
Last Name:HORTON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:110 BATTLEFIELD CROSSING CT
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-5176
Mailing Address - Country:US
Mailing Address - Phone:706-861-0004
Mailing Address - Fax:706-861-0050
Practice Address - Street 1:2009 OLD LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:FORT OGLETHORPE
Practice Address - State:GA
Practice Address - Zip Code:30742-3510
Practice Address - Country:US
Practice Address - Phone:706-866-5520
Practice Address - Fax:706-657-2958
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2022-09-27
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Provider Licenses
StateLicense IDTaxonomies
GA43963207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11BDWKKMedicare PIN