Horner, Hannah Carter

Horner, Hannah Carter is an individual health care provider with primary practice located at 218 Quarterman St , Waycross GA 31501-3547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Horner, Hannah Carter can be contacted via phone (912) 287-0301.

Contact Information

Primary practice address
218 Quarterman St Waycross GA 31501-3547
Fax: (912) 287-1568
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5051 Georgia

Profile Details

NPI number 1265655625
LBN Legal business name Horner, Hannah Carter
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Dec 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265655625 NPPES
Georgia MEDICAID 272276094E

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