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Individual

DR. MARY ANN HANNA HORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
400 BUCKWALTER PLACE BLVD., BLUFFTON, SC 29910
(800) 420-3471
Mailing address
4015 WEATHERSTONE WAY, ANDERSON, SC 29621
(843) 424-2747
(843) 424-2747

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1167
SC
208D00000X
General Practice Physician
5101018234
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016770
SC
Enumeration date
06/30/2009
Last updated
09/17/2015
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