Organization
FIRST IMAGING OF THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
30 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 295-4400
(910) 295-2810
Mailing address
30 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 295-4400
(910) 295-2810
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902406
—
NC
Enumeration date
06/01/2006
Last updated
12/17/2024
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