Individual
DR. FREDERICK TRYON HORTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
314 E HARGETT ST, RALEIGH, NC 27601-1436
(919) 828-9014
Mailing address
2701 GLENWOOD GARDENS LN., #301, RALEIGH, NC 27608-8041
(919) 720-4079
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9701406
NC
2084P0804X
Child & Adolescent Psychiatry Physician
9701406
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002006459
BLUECROSSBLUESHIELD
TN
Enumeration date
12/02/2006
Last updated
10/04/2016
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