Organization
MCPC-17, LLC
Active
Other names
FirstHealth Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
293 OLMSTED BLVD, SUITE 1, PINEHURST, NC 28374-9181
(910) 255-0033
(910) 255-0036
Mailing address
293 OLMSTED BLVD STE 1, PINEHURST, NC 28374-9182
(910) 255-0033
(910) 255-0036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
12/30/2024
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