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

## Provider details

- **NPI number:** 1275201592
- **Legal business name:** MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
- **Authorized official:** JILL HUGHES (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (919) 341-4016

## Contact information

- **Practice address:** 107 WEEKS DR, ROXBORO, NC 27573-3929
- **Practice address phone:** (336) 598-5480
- **Practice address fax:** (336) 598-5482
- **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 | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 09/01/2021