Healthcare Provider Details

I. General information

NPI: 1548276389
Provider Name (Legal Business Name): FIRSTHEALTH OF THE CAROLINAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 ALLEN ST SUITE 101
TROY NC
27371-2861
US

IV. Provider business mailing address

522 ALLEN ST STE 101
TROY NC
27371-2861
US

V. Phone/Fax

Practice location:
  • Phone: 910-571-5510
  • Fax: 910-571-5772
Mailing address:
  • Phone: 910-571-5510
  • Fax: 910-571-5572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200401306
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNC

VIII. Authorized Official

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