# MCPC-21, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstHealth Occupational Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407463227
- **Authorized official:** MICKEY FOSTER (CEO)
- **Authorized official phone:** (910) 715-4473

## Contact information

- **Practice address:** 522 ALLEN ST STE 203, TROY, NC 27371-2861
- **Practice address phone:** (910) 571-5170
- **Practice address fax:** (910) 571-5175
- **Mailing address:** 522 ALLEN ST STE 203, TROY, NC 27371-2861
- **Mailing address phone:** (910) 571-5170
- **Mailing address fax:** (910) 571-5175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 09/25/2020
