Provider Demographics
NPI:1063978427
Name:HORIZON CLINICIANS PLLC
Entity type:Organization
Organization Name:HORIZON CLINICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-366-4070
Mailing Address - Street 1:215 FORKS OF THE RIVER PKWY STE 2
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3410
Mailing Address - Country:US
Mailing Address - Phone:865-366-4070
Mailing Address - Fax:865-366-3720
Practice Address - Street 1:215 FORKS OF THE RIVER PKWY STE 2
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3410
Practice Address - Country:US
Practice Address - Phone:865-366-4070
Practice Address - Fax:865-366-3720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ048105Medicaid