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Dr. Jeffrey W Horowitz
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Jeffrey W Horowitz |
Gender: | M |
Provider License Number If Given: | 3112 |
NPI Information:
NPI: | 1679576664 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 7/10/2007 |
Provider Business Mailing Address:
Address: | 1515 9TH AVE Conway, SC 29526 |
Phone Number: | 8432483843 |
Fax Number: | 8432488802 |
Provider Business Practice Location Address:
Address: | 1515 9TH AVE Conway, SC 29526 |
Phone Number: | 8432483843 |
Fax Number: | 8432488802 |
Provider Taxonomy:
Primary: | 1223G0001X |
Secondary (if any): | |
State: | SC |