Fayetteville Plastic Surgery Specialists, Pa

LBN: Fayetteville Plastic Surgery Specialists, Pa
Fayetteville Plastic Surgery Specialists, Pa is an health care organization with primary practice located at 1774 Metromedical Dr , Fayetteville NC 28304-3861. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Fayetteville Plastic Surgery Specialists, Pa can be contacted via phone (910) 323-1203, or through Miller, Horace William via phone (910) 323-1203.

Contact Information

Primary practice address
1774 Metromedical Dr Fayetteville NC 28304-3861
Fax: (910) 483-1130
Website:
Authorized official contact:
Name: Miller, Horace William Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 27390 North Carolina

Profile Details

NPI number 1093808388
LBN Legal business name Fayetteville Plastic Surgery Specialists, Pa
DBA Doing business as
Authorized official Miller, Horace William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093808388 NPPES
North Carolina MEDICAID 8959118

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