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NPI Code Detail

MEDICARE: FHPG, LLC

MEDICARE: FHPG, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1033935853
Entity Type Code : Organization
Provider Name (Legal Business Name) : FHPG, LLC
Provider Business Mailing Address
First Line : 3622 N MAIN ST
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-1937
Country : US
Telephone Number : 910-423-7771
Fax Number : 910-423-4177
Provider Business Practice Location Address
First Line : 3622 N MAIN ST
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-1937
Country : US
Telephone Number : 910-423-7771
Fax Number : 910-423-4177
Authorized Official
Title or Position : CEO
Name : MICKEY FOSTER
Credential :
Telephone Number : 910-715-4473
Provider Enumeration Date : 11/26/2024
Last Update Date : 11/26/2024

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Directions to “FHPG, LLC ” Practice Location

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