Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI Number | 1619577442 |
| LBN Legal business name | FHPG, LLC |
| Authorized official | MICKEY FOSTER - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/30/2020 |
| Last updated | 12/17/2024 - More than a year ago |
| Identifiers | n/a |
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FHPG, LLC
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