Provider Demographics
NPI:1740274026
Name:HORTON, ROBERT MARSHALL (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MARSHALL
Last Name:HORTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3810 BURWELL ROLLINS CIR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4224
Mailing Address - Country:US
Mailing Address - Phone:919-571-8522
Mailing Address - Fax:919-787-5269
Practice Address - Street 1:3124 BLUE RIDGE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8041
Practice Address - Country:US
Practice Address - Phone:919-782-2333
Practice Address - Fax:919-787-5269
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2011-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC19169207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8943880Medicaid
NC8943880Medicaid
NCC80945Medicare UPIN