Organization
MCPC-12, LLC
Active
Other names
FirstHealth Urogynecology
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
145 APPLECROSS RD, PINEHURST, NC 28374-8521
(910) 692-7928
(910) 692-5962
Mailing address
145 APPLECROSS RD, PINEHURST, NC 28374-8521
(910) 692-7928
(910) 692-5962
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
12/30/2024
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