Organization
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Active
Parent organization
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Authorized official
MR. PAUL FENECK (CHIEF EXECUTIVE OFFICER)
(919) 341-4016
Entity
Organization
Contact information
Practice address
2115 S MAIN ST STE A, WAKE FOREST, NC 27587-5011
(919) 570-2000
(919) 570-2001
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
—
—
Other
Enumeration date
07/31/2017
Last updated
01/21/2020
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