Organization Name: | NEW HORIZON MEDICAL PLLC |
NPI Number: | 1578954350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELAINA MANUELE (CO-MANAGER) |
Mailing Address: | 1292 1st Ave Lawrenceburg |
State: | TN US |
Postal Code: | 384642762 |
Phone Number: | 9312447461 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2015 |
NPI Last Update Date: | 02/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35420 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |