FAYETTEVILLE PLASTIC SURGERY SPECIALISTS, PA
Medical Practice at Metromedical Dr, Fayetteville, NC

License number
North Carolina 27390
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: DR. HORACE WILLIAM MILLER IV MD
Title: PRESIDENT
Phone: (910) 323-1203
Address
Address
1774 Metromedical Dr, Fayetteville, NC 28304
National Provider ID: 1093808388
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Fayetteville Plastic Surgery Specialists, PA

1774 Metromedical Dr, Fayetteville, NC 28304

Doing business as:
H.W. Mark Miller IV, MD
Registration:
Jan 1, 1989
Site:
fayplasticsurgery.com
Phone:
(910) 323-1203 (Phone), (910) 323-3101 (Fax)
State ID:
0240570
President/Owners:
Mary Dickerson (Office Manager),Mary Lee Cudd (PA-C),Dr H.w. Mark Miller Iv (President/Owner)
Agent:
Iv Miller
Categories:
Physicians & Surgeons-Cosmetic, Plastic & Rec, Physicians & Surgeons-Medical-M.D.

Fayetteville Plastic Surgery Specialist PA

1774 Metromedical Dr, Fayetteville, NC 28304

Status:
Inactive
Industry:
Medical Doctor's Office
Phone:
(910) 323-1203 (Phone)
Managers:
Sabrina Villagomez (Chief Operating Officer),Mark Miller President, Partner, inactive,Mary Dickerson Manager, Office Manager, inactive,...

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