Organization
MCPC-2, LLC
Active
Other names
FirstHealth Richmond Medical Group-Internal Medicine and Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN S DEJACO (CFO)
(910) 715-1913
Entity
Organization
Contact information
Practice address
125 BILTMORE DR, SUITE #2, ROCKINGHAM, NC 28379-5017
(910) 895-6650
(910) 895-6682
Mailing address
PO BOX 843223, BOSTON, MA 02284-3223
(910) 895-6650
(910) 895-6682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/22/2013
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