Individual
BENION S HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 FAUL STREET, SUITE 2100, MONROE, NC 28112-5087
(704) 289-2553
(704) 289-6496
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 289-2553
(704) 289-6496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2005-00203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508825571
—
NC
01
—
2038456A
MEDICARE PTAN, INDIVIDUAL FOR WILKES
NC
05
—
5900152
—
NC
05
—
5900153
—
NC
05
—
NC1935
—
SC
Enumeration date
03/20/2006
Last updated
12/12/2016
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