Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 15 days before observation
Type 2 organization · NPI 1093633737
MCPC-19, LLC
2085R0202X · FAYETTEVILLE, NC
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 2085R0202X | 2085R0202X | Primary |
| 293D00000X | 293D00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s