Individual
TABITHA V HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
73 SEA ISLAND PKWY, SUITE 22, BEAUFORT, SC 29907-1459
(843) 470-0836
Mailing address
73 SEA ISLAND PKWY, SUITE 22, BEAUFORT, SC 29907-1459
(843) 470-0836
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3224
SC
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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