William Leslie Hornback Iii, MD | |
1622 Madison Avenue, Tifton, GA 31794-1228 | |
(229) 388-5625 | |
(229) 353-6377 |
Full Name | William Leslie Hornback Iii |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1622 Madison Avenue, Tifton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316964208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | 20741 (Georgia) | Primary |
Entity Name | Tift Regional Health System, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Mailing Address | Practice Location Address |
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William Leslie Hornback Iii, MD 1622 Madison Avenue, Tifton, GA 31794-1228 Ph: (229) 388-5625 | William Leslie Hornback Iii, MD 1622 Madison Avenue, Tifton, GA 31794-1228 Ph: (229) 388-5625 |
Kyle Fleck, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2227 Us Highway 41 N, Tifton, GA 31794 Phone: 229-386-5222 Fax: 229-386-0900 | |
Dr. David M Banks, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2227 Us Highway 41 N, Tifton, GA 31794 Phone: 229-386-5222 Fax: 229-386-0900 | |
James William Scott, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2227 Us Hwy 41 N, Tifton, GA 31794 Phone: 229-386-5222 | |
Edward William Hellman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2227 Us Highway 41 N, Tifton, GA 31794 Phone: 229-386-5222 Fax: 229-386-0900 | |
William Morgan Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2227 Us Highway 41 N, Tifton, GA 31794 Phone: 229-386-5222 |