Timothy Caron Horton, MD | |
1702 Meadows Ln Ste A, Vidalia, GA 30474-7220 | |
(912) 538-8484 | |
(912) 538-8665 |
Full Name | Timothy Caron Horton |
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Gender | Male |
Speciality | Pediatrics |
Location | 1702 Meadows Ln Ste A, Vidalia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437218013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A61760 (California) | Secondary |
208000000X | Pediatrics | 064828 (Georgia) | Primary |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965736 PECOS PAC ID: 9436067618 Enrollment ID: O20031106000460 |
Entity Name | Peacehealth |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1396705539 PECOS PAC ID: 9436067618 Enrollment ID: O20080114000791 |
Mailing Address | Practice Location Address |
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Timothy Caron Horton, MD 1702 Meadows Ln Ste A, Vidalia, GA 30474-7220 Ph: (912) 538-8484 | Timothy Caron Horton, MD 1702 Meadows Ln Ste A, Vidalia, GA 30474-7220 Ph: (912) 538-8484 |
Dr. Erin Breeann Lindholm, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Etta Wilcia Boss Cole, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 Lugenia Blvd, Vidalia, GA 30474 Phone: 912-537-9355 Fax: 912-537-7038 | |
Lauren Courtney Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Dr. Katrina Mcclane Leshanski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Caryn J. Masterman-smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665 | |
Callie Wilkes, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474 Phone: 912-537-9355 |