Individual
DR. WILLIAM A. VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
(843) 347-3959
Mailing address
295 OLMSTED BLVD STE 2, PINEHURST, NC 28374-9131
(919) 239-4711
(888) 899-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2014-00886
NC
2084P0805X
Geriatric Psychiatry Physician
2014-00886
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000408404001
BLUE SHIELD
NY
01
—
050103000028
FIDELIS
NY
01
—
10091505
CDPHP
NY
01
—
11398516
CAQH
NY
01
—
4141636
MVP
NY
01
—
492BA1
BLUE CROSS
NY
01
—
AA24050281
MEDICARE PALMETTO GBA
SC
Enumeration date
04/25/2006
Last updated
01/16/2019
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