# MCPC-16, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstHealth Primary Care and Cardiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114351095
- **Authorized official:** MICKEY FOSTER (CEO)
- **Authorized official phone:** (910) 715-4473

## Contact information

- **Practice address:** 6322 FAYETTEVILLE RD, RAEFORD, NC 28376-7979
- **Practice address phone:** (910) 878-6700
- **Practice address fax:** (910) 878-6705
- **Mailing address:** 6322 FAYETTEVILLE RD, RAEFORD, NC 28376-7979
- **Mailing address phone:** (910) 878-6700
- **Mailing address fax:** (910) 878-6705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |

## Other

- **Enumeration date:** 08/27/2013
- **Last updated:** 12/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1114351095 | — | NC |