Organization
MCPC-28, LLC
Active
Other names
FirstHealth Fayetteville Otolaryngology
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY FOSTER (CEO)
(910) 715-4473
Entity
Organization
Contact information
Practice address
1839 QUIET CV, FAYETTEVILLE, NC 28304-3857
(910) 715-1000
Mailing address
PO BOX 896208, CHARLOTTE, NC 28289-6208
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/16/2025
Last updated
08/04/2025
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