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1871619130
WILLIAM LESLIE HORNBACK
TIFTON, GA
NPI
1871619130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 066548)
Additional Taxonomies
208600000X Surgery
(Licence: OH 57010975)
Enumeration Date
2007-03-21
Last Update Date
2020-12-01
Business Address
Dr. WILLIAM LESLIE HORNBACK M.D.
1007 GREENFIELD DR
TIFTON, GA 31794-3795
Phone number: 229-382-9733
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Mailing Address
Dr. WILLIAM LESLIE HORNBACK M.D.
907 18TH ST E STE 400
TIFTON, GA 31794-3684
Phone number: 229-382-9733
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