Horsford, Alisa C

Horsford, Alisa C is an individual health care provider with primary practice located at 6335 Hospital Pkwy Suite 313, Johns Creek GA 30097-1549. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Horsford, Alisa C can be contacted via phone (770) 979-9996.

Contact Information

Primary practice address
6335 Hospital Pkwy Suite 313 Johns Creek GA 30097-1549
Phone: (770) 979-9996
Fax: (770) 979-1202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 063242 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0069966 Maryland
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 63242 Georgia

Profile Details

NPI number 1649310426
LBN Legal business name Horsford, Alisa C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Mar 14th, 2012 - about 12 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 1649310426 NPPES
Maryland MEDICAID 418741500
Maryland Other D0069966
Maryland Other 063242

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