| Horizon Family Medicine Pllc | |
|
1335 E Center St #1 Kingsport TN 37664-2489 | |
| (423) 247-2263 | |
| (423) 246-1943 |
| Full Name | Horizon Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1335 E Center St, Kingsport, Tennessee |
| Authorized Official Name and Position | Charles Aaron Ross (OWNER/CEO) |
| Authorized Official Contact | 4233668500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Family Medicine Pllc 320 Wynfield Ct Kingsport TN 37663-2900 Ph: (423) 366-8500 | Horizon Family Medicine Pllc 1335 E Center St #1 Kingsport TN 37664-2489 Ph: (423) 247-2263 |
| NPI Number | 1154790855 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Medicare PECOS PAC ID | 5698075471 |
|---|---|
| Medicare Enrollment ID | O20151201000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154790855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO0000002271 (Tennessee) | Primary |
| Provider Name | Charles A Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306005137 PECOS PAC ID: 7719155845 Enrollment ID: I20110715000579 |
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