Individual
MR. NATHANAEL SHANE HORNSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
10175 DALLAS ACWORTH HWY STE 103-14, DALLAS, GA 30132-9300
(678) 481-1647
Mailing address
10175 DALLAS ACWORTH HWY STE 103-14, DALLAS, GA 30132-9300
(678) 481-1647
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
05/13/2026
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