# MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942579339
- **Authorized official:** PAUL FENECK (CEO)
- **Authorized official phone:** (919) 341-4016

## Contact information

- **Practice address:** 4222 LONG BEACH RD SE, SOUTHPORT, NC 28461-8627
- **Practice address phone:** (910) 269-2053
- **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 |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2011
- **Last updated:** 01/21/2020