# 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:** 1356157572
- **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:** 6419 CAROLINA BEACH RD STE A, WILMINGTON, NC 28412-3672
- **Practice address phone:** (910) 790-3660
- **Practice address fax:** (910) 790-9499
- **Mailing address:** 1616 E MILLBROOK RD STE 110, RALEIGH, NC 27609-4971
- **Mailing address phone:** (919) 341-4016
- **Mailing address fax:** (919) 977-5437

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024