# MCPC-20, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstHealth Gynecologic Oncology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295385748
- **Authorized official:** MICKEY FOSTER (CEO)
- **Authorized official phone:** (910) 715-4473

## Contact information

- **Practice address:** 135 PAGE RD N, PINEHURST, NC 28374-4607
- **Practice address phone:** (910) 715-3504
- **Practice address fax:** (910) 715-1247
- **Mailing address:** 135 PAGE RD N, PINEHURST, NC 28374-4607
- **Mailing address phone:** (910) 715-3504
- **Mailing address fax:** (910) 715-1247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 261QX0200X | Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2019
- **Last updated:** 12/17/2024