Individual
GAYLYN MCILWAIN HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7067 VETERANS PARKWAY, SUITE 210, PELL CITY, AL 35125
(205) 405-7348
(205) 338-0550
Mailing address
7067 VETERANS PKWY STE 210, PELL CITY, AL 35125-5128
(205) 405-7348
(205) 338-0550
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MD.24389
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933603
—
AL
05
—
009933604
—
AL
05
—
009933606
—
AL
01
—
051532011
BLUE CROSS
AL
01
—
051532013
BLUE CROSS
AL
01
—
051532014
BLUE CROSS
AL
01
—
102G708032
MEDICARE PTAN
AL
01
—
630649108
VIVA
AL
01
—
9082042
MISSISSIPPI MEDICAID
AL
01
—
P00289121
RAILROAD MEDICARE
AL
Enumeration date
05/11/2006
Last updated
04/13/2020
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