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Organization

MCPC-29, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization

Contact information

Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-1000
Mailing address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/21/2025
Last updated
08/21/2025
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