Individual
TIMOTHY CARON HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 MEADOWS LN STE A, VIDALIA, GA 30474-7220
(912) 538-8484
(912) 538-8665
Mailing address
1702 MEADOWS LN STE A, VIDALIA, GA 30474-7220
(912) 538-8484
(912) 538-8665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
064828
GA
208000000X
Pediatrics Physician
A61760
CA
Other
Enumeration date
12/08/2006
Last updated
12/05/2011
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