Healthcare Provider Details

I. General information

NPI: 1366753741
Provider Name (Legal Business Name): FIRSTHEALTH OF THE CAROLINAS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 S LONG DR SUITE K
ROCKINGHAM NC
28379-4318
US

IV. Provider business mailing address

PO BOX 4970
BELFAST ME
04915-4900
US

V. Phone/Fax

Practice location:
  • Phone: 910-417-4090
  • Fax: 910-895-1550
Mailing address:
  • Phone: 866-265-7922
  • Fax: 617-402-1099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number StateNC

VIII. Authorized Official

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