Provider Demographics
NPI:1861225468
Name:HORNE, EARL RUBIN III
Entity type:Individual
Prefix:MR
First Name:EARL
Middle Name:RUBIN
Last Name:HORNE
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1441 BOXWOOD BLVD APT 18
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31906-2700
Mailing Address - Country:US
Mailing Address - Phone:706-561-5535
Mailing Address - Fax:
Practice Address - Street 1:1441 BOXWOOD BLVD APT 18
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2700
Practice Address - Country:US
Practice Address - Phone:706-561-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator