| Mcpc-17, Llc | |
|
709 Wicker St Ste C Sanford NC 27330-4168 | |
| (919) 777-2704 | |
| Not Available |
| Full Name | Mcpc-17, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 709 Wicker St Ste C, Sanford, 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-17, Llc 709 Wicker St Ste C Sanford NC 27330-4168 Ph: (919) 777-2704 | Mcpc-17, Llc 709 Wicker St Ste C Sanford NC 27330-4168 Ph: (919) 777-2704 |
| NPI Number | 1386323319 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386323319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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