# 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:** 1316455124
- **Legal business name:** MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
- **Authorized official:** PAUL FENECK (CEO)
- **Authorized official phone:** (919) 341-4016

## Contact information

- **Practice address:** 1033 RANDOLPH ST STE 32, THOMASVILLE, NC 27360-5731
- **Practice address phone:** (336) 860-0843
- **Practice address fax:** (336) 914-8303
- **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:** 01/15/2018
- **Last updated:** 01/21/2020