Healthcare Provider Details

I. General information

NPI: 1346279445
Provider Name (Legal Business Name): FHPG, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 ALLEN ST
TROY NC
27371-2802
US

IV. Provider business mailing address

520 ALLEN ST
TROY NC
27371-2802
US

V. Phone/Fax

Practice location:
  • Phone: 910-571-5000
  • Fax: 910-571-5043
Mailing address:
  • Phone: 910-571-5000
  • Fax: 910-571-5043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

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