Horton, Miranda Colletta
Horton, Miranda Colletta is an individual health care provider with primary practice located at 620 Singleton Ridge Rd , Conway SC 29526-9154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Horton, Miranda Colletta can be contacted via phone (843) 347-7300.Contact Information
Primary practice address
620 Singleton Ridge Rd
Conway SC 29526-9154
Phone: (843) 347-7300
Fax: (843) 347-8459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 86199 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 86510 | South Carolina |
Profile Details
| NPI number | 1225423601 |
|---|---|
| LBN Legal business name | Horton, Miranda Colletta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2015 |
| Last updated | Sep 2nd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225423601 | NPPES |
| South Carolina | MEDICAID | 865102 |
Popular Providers
-
Sanderson, Alicia Ruth
620 Singleton Ridge Rd , Conway SC 29526-9154 -
Ow, Randall A
2 Medical Plaza Dr Ste 225 & 235, Roseville CA 95661-3043 -
Mcgrady, Murray D
19 Wolf Creek Dr Dept Otolaryngology, Swansea IL 62226-2355 -
Mazer, Theodore M.
6699 Alvarado Rd Ste 2209, San Diego CA 92120-5240 -
Zachmann, Gregory Carl
4348 Electric Rd , Roanoke VA 24018-0720 -
Kearns, Michael J
6600 Mercy Ct Ste 180 , Fair Oaks CA 95628-3198 -
Bassett, Ralph E
14510 W Shumway Dr Ste 101 , Sun City West AZ 85375-5815 -
Isaac, Mitchell Joseph
620 Singleton Ridge Rd , Conway SC 29526-9154