Organization
MCPC-20, LLC
Active
Other names
FirstHealth Gynecologic Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
135 PAGE RD N, PINEHURST, NC 28374-4607
(910) 715-3504
(910) 715-1247
Mailing address
135 PAGE RD N, PINEHURST, NC 28374-4607
(910) 715-3504
(910) 715-1247
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
—
—
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
12/17/2024
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