| Mcpc-28, Llc | |
|
1839 Quiet Cv Fayetteville NC 28304-3857 | |
| (910) 715-1000 | |
| Not Available |
| Full Name | Mcpc-28, Llc |
|---|---|
| Speciality | Otolaryngology |
| Location | 1839 Quiet Cv, Fayetteville, North Carolina |
| Authorized Official Name and Position | Mickey Foster (CEO) |
| Authorized Official Contact | 9107154473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcpc-28, Llc Po Box 896208 Charlotte NC 28289-6208 Ph: () - | Mcpc-28, Llc 1839 Quiet Cv Fayetteville NC 28304-3857 Ph: (910) 715-1000 |
| NPI Number | 1811889728 |
|---|---|
| Provider Enumeration Date | 07/16/2025 |
| Last Update Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811889728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
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