Provider Demographics
NPI:1427369263
Name:FOSCOE MEDICAL CLINIC PLLC
Entity Type:Organization
Organization Name:FOSCOE MEDICAL CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT, SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MURPHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-963-8060
Mailing Address - Street 1:520 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8332
Mailing Address - Country:US
Mailing Address - Phone:828-963-8060
Mailing Address - Fax:828-963-8020
Practice Address - Street 1:520 CHURCH RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-8332
Practice Address - Country:US
Practice Address - Phone:828-963-8060
Practice Address - Fax:828-963-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-26
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200409-00923261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care