Teague Lon Horton, MD | |
403 Fairview St, Clinton, NC 28328-2399 | |
(910) 592-6011 | |
(910) 592-0811 |
Full Name | Teague Lon Horton |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 403 Fairview St, Clinton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376610139 | NPI | - | NPPES |
1332X | Other | BCBS | |
C6026 | Other | MEDCOST | |
8913324 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 200300481 (North Carolina) | Primary |
Entity Name | Clinton Medical Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780629154 PECOS PAC ID: 6406821628 Enrollment ID: O20040831001347 |
Mailing Address | Practice Location Address |
---|---|
Teague Lon Horton, MD 403 Fairview St, Clinton, NC 28328-2399 Ph: (910) 592-6011 | Teague Lon Horton, MD 403 Fairview St, Clinton, NC 28328-2399 Ph: (910) 592-6011 |
Shane Megan Sundlie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-592-0819 | |
Dr. Rufus M. Herring Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-590-0605 Fax: 910-592-0811 | |
Dr. Ada M. Conway, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-590-0816 | |
Subodh Pal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 607 Beaman St, Clinton, NC 28328 Phone: 910-590-8729 Fax: 910-590-2321 | |
Mary Katrina Snyder Gaylord, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 Fax: 910-952-0819 | |
Dr. William C. Carr, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 403 Fairview St, Clinton, NC 28328 Phone: 910-592-6011 |