Individual
MR. PHILLIP GARY HORTON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12152 MOONSHADOW LN, HUNTERSVILLE, NC 28078-6858
(704) 960-9296
(704) 875-9293
Mailing address
PO BOX 2164, HUNTERSVILLE, NC 28070-2164
(704) 960-9296
(704) 875-9293
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
1 - 101
NC
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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