Individual
MORTON MELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 OWEN DR, FAYETTEVILLE, NC 28304-3417
(910) 221-3030
Mailing address
PO BOX 42510, FAYETTEVILLE, NC 28309-2510
(910) 221-3030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6758593
NC
2084F0202X
Forensic Psychiatry Physician
15665
NC
2084P0800X
Psychiatry Physician
15665
NC
2084P0802X
Addiction Psychiatry Physician
15665
NC
2084P0804X
Child & Adolescent Psychiatry Physician
15665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8958594
—
NC
Enumeration date
05/10/2006
Last updated
07/06/2010
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