| Doctor Name: | DR. MARY ANN HANNA HORN |
| NPI Number: | 1710115605 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 5101018234 |
| Business Practice Address: | 400 Buckwalter Place Blvd. Bluffton, SC - 29910 |
| Business Phone Number: | 8004203471 |
| Business Fax Number: | |
| Mailing Address: | 4015 Weatherstone Way, ANDERSON |
| State: | SC |
| Postal Code: | 29621 |
| Phone Number: | 8434242747 |
| Fax Number: | 8434242747 |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101018234 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |