Organization
FHPG, LLC
Active
Other names
FirstHealth Family Medicine-Raeford
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
313 TEAL DR, RAEFORD, NC 28376-2527
(910) 904-2350
(910) 904-1037
Mailing address
313 TEAL DR, RAEFORD, NC 28376-2527
(910) 904-2350
(910) 904-1037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188P
BCBS GROUP NUMBER
NC
01
—
02AY3
BCBS
NC
05
—
1245335066
—
NC
05
—
8902800
—
NC
Enumeration date
09/14/2006
Last updated
01/06/2025
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