Individual
TAKEIA HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 JONESBORO RD, MCDONOUGH, GA 30253-3769
(404) 251-2050
Mailing address
259 JONESBORO RD, MCDONOUGH, GA 30253-3769
(404) 251-2050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7951
GA
363AM0700X
Medical Physician Assistant
0110004875
VA
Other
Enumeration date
02/24/2015
Last updated
05/18/2023
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