# MONTGOMERY COUNTY PRIMARY CARE CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FIRSTHEALTH FAMILY CARE CENTER - JORDAN CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548565153
- **Authorized official:** STUART G VOELPEL (COO)
- **Authorized official phone:** (910) 715-2261

## Contact information

- **Practice address:** 116 CAMPUS AVENUE, RAEFORD, NC 28376-2606
- **Practice address phone:** (910) 875-9087
- **Practice address fax:** (910) 875-4597
- **Mailing address:** PO BOX 843145, BOSTON, MA 02284-3145
- **Mailing address phone:** (866) 265-7922
- **Mailing address fax:** (617) 402-1099

## Taxonomy

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

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 01/18/2011