Organization
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FENECK (CEO)
(919) 341-4016
Entity
Organization
Contact information
Practice address
609 RICHLANDS HWY STE 6, JACKSONVILLE, NC 28540-3606
(910) 455-7888
(910) 455-1403
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
207Q00000X
Family Medicine Physician
Primary
9801392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911515
—
NC
Enumeration date
08/16/2007
Last updated
12/08/2023
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