Med First Immediate Care & Family Practice PA

Organization Active NPI Family Medicine Physician · Jacksonville, NC

NPI 1386165686 · NPPES record last updated Jun 28, 2017

Key facts

NPI
1386165686
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Practice address
609 Richlands Hwy Ste 6
Jacksonville, NC 28540-3606
Phone
(910) 455-7888
Fax
(910) 455-1403
NPI assigned
Jun 28, 2017
Organization subpart
Yes
Parent organization (as reported)
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA

Authorized official

Name
Mr. Paul Feneck
Title
Chief Executive Officer
Phone
(910) 238-4228

Corporate family (same tax ID) 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

National Provider Directory

Tax ID family
Med First Immediate Care Family Practice PA (44 organizations share this tax ID)
Part of
Med First Immediate Care Family Practice PA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

609 Richlands Hwy Ste 6
Jacksonville, NC 28540-3606

Mailing address

609 Richlands Hwy Ste 6
Jacksonville, NC 28540-3606
Phone (910) 455-7888

Other providers in Jacksonville, NC

All providers in Jacksonville, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.