Organization
MCPC-16, LLC
Active
Other names
FirstHealth Primary Care and Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
6322 FAYETTEVILLE RD, RAEFORD, NC 28376-7979
(910) 878-6700
(910) 878-6705
Mailing address
6322 FAYETTEVILLE RD, RAEFORD, NC 28376-7979
(910) 878-6700
(910) 878-6705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114351095
—
NC
Enumeration date
08/27/2013
Last updated
12/10/2024
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