# 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:** 1255851358
- **Legal business name:** MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
- **Authorized official:** MR. PAUL FENECK (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 341-4016

## Contact information

- **Practice address:** 1728 FORDHAM BLVD, CHAPEL HILL, NC 27514-2397
- **Practice address phone:** (919) 968-1985
- **Practice address fax:** (919) 942-0038
- **Mailing address:** 1616 E MILLBROOK RD, RALEIGH, NC 27609-4968
- **Mailing address phone:** (919) 341-4016
- **Mailing address fax:** (910) 346-1907

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 01/21/2020