Individual
MRS. MATA ALLISON GAMBLE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2621 LYNCHBURG HWY, LYNCHBURG, SC 29080-8309
(803) 410-0083
Mailing address
2621 LYNCHBURG HWY, LYNCHBURG, SC 29080-8309
(803) 410-0083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245778
SC
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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