Provider Demographics
NPI:1104814409
Name:HORGER, DAVID COLLINS (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:COLLINS
Last Name:HORGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-665-2000
Mailing Address - Fax:843-669-1701
Practice Address - Street 1:800 E CHEVES ST
Practice Address - Street 2:SUITE 350
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2650
Practice Address - Country:US
Practice Address - Phone:843-665-2000
Practice Address - Fax:843-669-1701
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21941208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC034OtherBCBS
SC035OtherTRICARE
SC20080045OtherSELECT HEALTH
SC219418Medicaid
SC7015622OtherAETNA
NC8913692Medicaid
SC000000249247OtherUNISON
SCAA31948552OtherMEDICARE PTAN
SC1729953OtherCIGNA
SC211675OtherMEDCOST
SC065OtherBLUECHOICE
NC8913692Medicaid