Mcpc-4 LLC

NPI #1932486289 in Rockingham, North Carolina

Provider Information

NPI Number
1932486289
Entity Type
Organization
Organization Name
Mcpc-4 LLC
Primary Specialty
Surgery
Enumeration Date
Nov 14, 2011
Last Updated
Nov 14, 2011

Practice Location

Address
921 S LONG DR
Address 2
SUITE 208
ZIP Code
28379-4874
Phone
(910) 417-3540

Authorized Official

Name
LYNN S DEJACO
Title
SR VP - CFO
Phone
(910) 715-1913

Specialties & Taxonomy Codes

Specialty
Surgery

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