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Individual

DR. FREDERICK TRYON HORTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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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