Individual
BENJAMIN SHINN HORNE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE A200, GREENVILLE, SC 29615-3593
(864) 454-5120
(864) 454-5106
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
11962
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119623
—
SC
Enumeration date
05/12/2006
Last updated
03/22/2018
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