# FASTMED HOLDINGS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FastMed Health, NC, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487112207
- **Authorized official:** SHELLEY JANE STAYMATES (NATIONAL CREDENTIALING MANAGER)
- **Authorized official phone:** (480) 500-2285

## Contact information

- **Practice address:** 5156 NC HIGHWAY 42 W STE B, GARNER, NC 27529-8417
- **Practice address phone:** (919) 779-7890
- **Practice address fax:** (919) 779-7896
- **Mailing address:** 935 SHOTWELL RD STE 108, CLAYTON, NC 27520-5598
- **Mailing address phone:** (480) 500-2285
- **Mailing address fax:** (919) 882-9575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/11/2019
- **Last updated:** 03/11/2019