Organization
FAYETTEVILLE PLASTIC SURGERY SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORACE WILLIAM MILLER IV MD (PRESIDENT)
(910) 323-1203
Entity
Organization
Contact information
Practice address
1774 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 323-1203
(910) 483-1130
Mailing address
1774 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 323-1203
(910) 483-1130
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
27390
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8959118
—
NC
Enumeration date
10/01/2006
Last updated
08/22/2020
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