Organization
HORIZON FAMILY MEDICINE
Active
Parent organization
MEDVANTX, INC.
Other names
Horizon Family Medicine - Smithfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (SR. DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
410 CANTERBURY RD, SMITHFIELD, NC 27577-4861
(919) 934-5419
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25359
NC
Other
Enumeration date
04/06/2010
Last updated
10/23/2012
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