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Organization
FHPG, LLC
Active
Organization
FHPG, LLC
Active
Other names
FirstHealth Family Medicine-Ellerbe
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4773
Entity
Organization
Contact information
Practice address
112 E BALLARD ST, ELLERBE, NC 28338-9730
(910) 652-2663
(910) 652-3150
Mailing address
112 E BALLARD ST, ELLERBE, NC 28338-9730
(910) 652-2663
(910) 652-3150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901427
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225E
BCBS #
NC
01
—
02AY1
BCBS
NC
05
—
1336154129
—
NC
05
—
8902804
—
NC
01
—
CA6647
RR MEDICARE GROUP #
NC
Enumeration date
07/30/2006
Last updated
01/06/2025
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