Organization
MCPC-17, LLC
Active
Other names
FirstHealth Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
709 WICKER ST STE C, SANFORD, NC 27330-4168
(919) 777-2704
(919) 777-2752
Mailing address
709 WICKER ST STE C, SANFORD, NC 27330-4168
(919) 777-2704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
12/30/2024
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