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
Phone: (910) 323-1203
Fax: (910) 483-1130
Website:
Authorized official contact:
Name: Miller, Horace William Doctor of Medicine (MD)
Phone: (910) 323-1203
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093808388 | NPPES |
North Carolina | MEDICAID | 8959118 |
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