Individual
TEAGUE LON HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 592-0811
Mailing address
403 FAIRVIEW ST, CLINTON, NC 28328-2399
(910) 592-6011
(910) 592-0811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200300481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1332X
BCBS
—
05
—
8913324
—
NC
01
—
C6026
MEDCOST
—
Enumeration date
11/29/2006
Last updated
07/23/2022
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