# MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023851144
- **Legal business name:** MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
- **Authorized official:** JILL HUGHES (CREDENTIALING)
- **Authorized official phone:** (919) 341-4016

## Contact information

- **Practice address:** 10620 PARK RD STE 128, CHARLOTTE, NC 28210-0106
- **Practice address phone:** (704) 542-6111
- **Practice address fax:** (704) 542-1239
- **Mailing address:** 1616 E MILLBROOK RD STE 110, RALEIGH, NC 27609-4971
- **Mailing address phone:** (919) 341-4016
- **Mailing address fax:** (919) 977-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/17/2024