Organization
FASTMED HOLDINGS, PLLC
Active
Other names
FastMed Health, NC, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY JANE STAYMATES (NATIONAL CREDENTIALING MANAGER)
(480) 500-2285
Entity
Organization
Contact information
Practice address
5156 NC HIGHWAY 42 W STE B, GARNER, NC 27529-8417
(919) 779-7890
(919) 779-7896
Mailing address
935 SHOTWELL RD STE 108, CLAYTON, NC 27520-5598
(480) 500-2285
(919) 882-9575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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