Provider Demographics
NPI:1427112994
Name:HORIZON HEMATOLOGY ONCOLOGY PC
Entity type:Organization
Organization Name:HORIZON HEMATOLOGY ONCOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-591-1700
Mailing Address - Street 1:1455 E MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-2243
Mailing Address - Country:US
Mailing Address - Phone:864-591-1700
Mailing Address - Fax:864-591-0007
Practice Address - Street 1:1455 E MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-2243
Practice Address - Country:US
Practice Address - Phone:864-591-1700
Practice Address - Fax:864-591-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP2317Medicaid
SCGP2317Medicaid
SCDG1733Medicare PIN