Individual
WILLIAM LESLIE HORNBACK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1622 MADISON AVENUE, TIFTON, GA 31794-1228
(229) 388-5625
(229) 353-6377
Mailing address
1622 MADISON AVENUE, TIFTON, GA 31794-1228
(229) 388-5625
(229) 353-6377
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20741
GA
Other
Enumeration date
07/16/2006
Last updated
06/18/2015
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