# MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053503763
- **Authorized official:** MR. PAUL FENECK (CEO)
- **Authorized official phone:** (919) 341-4016

## Contact information

- **Practice address:** 609 RICHLANDS HWY STE 6, JACKSONVILLE, NC 28540-3606
- **Practice address phone:** (910) 455-7888
- **Practice address fax:** (910) 455-1403
- **Mailing address:** 1616 E MILLBROOK RD STE 110, RALEIGH, NC 27609-4971
- **Mailing address phone:** (919) 341-4016
- **Mailing address fax:** (910) 346-1907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9801392 | NC | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 12/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8911515 | — | NC |