Healthcare Provider Details

I. General information

NPI: 1760329486
Provider Name (Legal Business Name): FHPG, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S MAIN ST
LILLINGTON NC
27546-7681
US

IV. Provider business mailing address

701 S MAIN ST
LILLINGTON NC
27546-7681
US

V. Phone/Fax

Practice location:
  • Phone: 910-984-1152
  • Fax: 910-984-1171
Mailing address:
  • Phone: 910-984-1152
  • Fax: 910-984-1171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICKEY WHELESS FOSTER
Title or Position: CEO
Credential:
Phone: 910-715-4473