# 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:** 1447780804
- **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:** 154 BEULAVILLE HWY, RICHLANDS, NC 28574-7104
- **Practice address phone:** (910) 324-9935
- **Practice address fax:** (910) 324-9938
- **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:** 06/18/2017
- **Last updated:** 01/21/2020