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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 |
