Individual
STACE E HORINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 1856, PAWLEYS ISLAND, SC 29585-1856
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39182
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43739
BCBS
NC
05
—
8943739
—
NC
01
—
930042433
RAILROAD
NC
Enumeration date
04/06/2006
Last updated
03/16/2009
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