Individual
RAE LYNNE HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
142 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 558-0092
(864) 558-0093
Mailing address
142 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 558-0092
(855) 269-6611
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
18758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57-6007863032
BCBS OF SC
SC
01
—
57-6007863037
BLUE CHOICE OF SC
SC
01
—
6230171
CIGNA
SC
05
—
T29154
—
SC
Enumeration date
05/12/2006
Last updated
05/27/2020
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