Individual
DR. GREGORY WADE HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 DOCTORS DR, OCEAN SPRINGS, MS 39564-5709
(228) 872-1505
(228) 872-8575
Mailing address
21 DOCTORS DR, OCEAN SPRINGS, MS 39564-5709
(228) 818-0717
(228) 872-8575
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
021971
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
15343
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118187
—
MS
01
—
160048497
MEDICARE RAILROAD
MS
01
—
5916558
AETNA PPO NUMBER
MS
01
—
721345420
COMMERCIAL PAYORS NUMBER
MS
01
—
7430044
UHC PPO NUMBER
MS
Enumeration date
07/27/2005
Last updated
10/19/2010
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