MCPC-12 LLC NPI 1003650391

NPI Details

MCPC-12, LLC is an urogynecology and reconstructive pelvic surgery in Pinehurst, NC. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. MCPC-12, LLC NPI is 1003650391. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Firsthealth Urogynecology.

The provider's business location address is:

145 APPLECROSS RD
PINEHURST, NC
ZIP 28374-521
Phone: (910) 692-7928
Fax: (910) 692-5962

The provider's authorized official is Mickey Foster .
The authorized official title is Ceo and has the following contact phone number (910) 715-4473.

The CLIA number assigned to this NPI record is 34D2306184 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/21/2024 and was last updated on 12/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: