Organization
MCPC-4 LLC
Active
Other names
FirstHealth Richmond Medical Group-General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN S DEJACO (SR VP - CFO)
(910) 715-1913
Entity
Organization
Contact information
Practice address
921 S LONG DR, SUITE 208, ROCKINGHAM, NC 28379-4874
(910) 417-3540
(910) 417-4369
Mailing address
921 S LONG DR, SUITE 208, ROCKINGHAM, NC 28379-4874
(910) 417-3540
(910) 417-4369
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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