Individual
DR. JEFFREY S HORN
Active
Individual
DR. JEFFREY S HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
49079
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129103A
—
GA
05
—
003129103D
—
GA
05
—
1530185
—
TN
05
—
153614
—
AL
01
—
4337802
BCBS
TN
01
—
MD49079
TN MEDICAL LICENSE
TN
01
—
P01125444
RR MEDICARE
—
Enumeration date
05/23/2007
Last updated
06/25/2015
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