MEDICARE: MCPC-6, 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1598431710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCPC-6, LLC

Provider Business Mailing Address
First Line	:	3716 MORGANTON RD STE 1
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-4963
Country	:	US
Telephone Number	:	910-565-5156
Fax Number	:	910-500-5813

Provider Business Practice Location Address
First Line	:	3716 MORGANTON RD STE 1
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-4963
Country	:	US
Telephone Number	:	910-878-5150
Fax Number	:	910-878-5190

Authorized Official
Title or Position	:	CEO
Name	:	MICKEY FOSTER
Credential	:
Telephone Number	:	910-715-4473

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	06/23/2026

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Directions to “MCPC-6, LLC ” Practice Location

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