| Organization Name: | FIRST CHOICE MEDICAL GROUP PC |
| NPI Number: | 1457413999 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY E STOGNER (CFO) |
| Mailing Address: | 921 E Broad Ave Rockingham |
| State: | NC US |
| Postal Code: | 283794338 |
| Phone Number: | 9108956042 |
| Fax Number: | 9108953199 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 09/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 26678 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |