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Organization
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Active
Organization
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FENECK (CEO)
(919) 341-4016
Entity
Organization
Contact information
Practice address
4222 LONG BEACH RD SE, SOUTHPORT, NC 28461-8627
(910) 269-2053
Mailing address
1616 E MILLBROOK RD STE 110, RALEIGH, NC 27609-4971
(919) 341-4016
(910) 346-1907
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/14/2011
Last updated
01/21/2020
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