# MCPC-28, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstHealth Fayetteville Otolaryngology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811889728
- **Authorized official:** MICKEY FOSTER (CEO)
- **Authorized official phone:** (910) 715-4473

## Contact information

- **Practice address:** 1839 QUIET CV, FAYETTEVILLE, NC 28304-3857
- **Practice address phone:** (910) 715-1000
- **Mailing address:** PO BOX 896208, CHARLOTTE, NC 28289-6208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/16/2025
- **Last updated:** 08/04/2025