Individual
GREY WILSON FORTENBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 19TH ST SE BLDG 100, HICKORY, NC 28602-4230
(828) 328-3500
(828) 328-8777
Mailing address
1072 X RAY DR, GASTONIA, NC 28054-7488
(980) 399-6330
(704) 671-1095
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
202501299
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2019
Last updated
08/04/2025
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