# 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:** 1386165686
- **Legal business name:** MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
- **Authorized official:** MR. PAUL FENECK (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (910) 238-4228

## Contact information

- **Practice address:** 609 RICHLANDS HWY STE 6, JACKSONVILLE, NC 28540-3606
- **Practice address phone:** (910) 455-7888
- **Practice address fax:** (910) 455-1403
- **Mailing address:** 609 RICHLANDS HWY STE 6, JACKSONVILLE, NC 28540-3606
- **Mailing address phone:** (910) 455-7888
- **Mailing address fax:** (910) 455-1403

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 06/28/2017