Individual
BETSY S HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
745 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 719-5490
(770) 719-3113
Mailing address
PO BOX 142459, FAYETTEVILLE, GA 30214-6515
(770) 719-5490
(770) 719-3113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00753519B
—
GA
Enumeration date
05/19/2006
Last updated
07/14/2011
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