Mata Allison Gamble Horton, RN

Individual provider Active NPI Registered Nurse · Lynchburg, SC

NPI 1083500367 · NPPES record last updated Jun 14, 2025

Key facts

NPI
1083500367
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
245778 (SC)
Practice address
2621 Lynchburg Hwy
Lynchburg, SC 29080-8309
Phone
(803) 410-0083
NPI assigned
Jun 14, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
245778SCMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 245778 SC Yes

Addresses

Primary practice location

2621 Lynchburg Hwy
Lynchburg, SC 29080-8309

Mailing address

2621 Lynchburg Hwy
Lynchburg, SC 29080-8309
Phone (803) 410-0083

Other names

  • Mrs. Allison Gamble Horton Other name

Other providers in Lynchburg, SC

All providers in Lynchburg, SC · Registered Nurse in South Carolina

Sources for this page

Verify at the official NPI Registry.