Organization
MCPC-21, LLC
Active
Other names
FirstHealth Occupational Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
522 ALLEN ST STE 203, TROY, NC 27371-2861
(910) 571-5170
(910) 571-5175
Mailing address
522 ALLEN ST STE 203, TROY, NC 27371-2861
(910) 571-5170
(910) 571-5175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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