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Organization
FASTMED HOLDINGS, PLLC
Active
Organization
FASTMED HOLDINGS, PLLC
Active
Other names
FastMed Health, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY JANE STAYMATES (NAT. CREDENTIALING MANAGER)
(480) 500-2285
Entity
Organization
Contact information
Practice address
11491 US HIGHWAY 70, WEST, SUITE B, CLAYTON, NC 27520-5598
(919) 550-2584
(919) 550-7059
Mailing address
935 SHOTWELL RD STE 108, CLAYTON, NC 27520-5598
(919) 550-2584
(919) 882-9575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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