Individual
OLIVER WENDELL HORNE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1062 FORSYTH ST STE 1B, MACON, GA 31201-8638
(478) 741-1208
Mailing address
1062 FORSYTH ST STE 1B, MACON, GA 31201-8638
(352) 273-9089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL33743
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
81838
GA
Other
Enumeration date
03/22/2011
Last updated
05/04/2023
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