| Fastmed Pc | |
|
2001 S. Main St Wake Forest NC 27587 | |
| (919) 562-3155 | |
| (919) 562-7401 |
| Full Name | Fastmed Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2001 S. Main St, Wake Forest, North Carolina |
| Authorized Official Name and Position | Nena Reeves (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9195500821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fastmed Pc 935 Shotwell Rd Suite 108 Clayton NC 27520 Ph: (919) 562-3155 | Fastmed Pc 2001 S. Main St Wake Forest NC 27587 Ph: (919) 562-3155 |
| NPI Number | 1073661690 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073661690 | NPI | - | NPPES |
| 017H1 | Other | NC | BCBS |
| 5902449 | Medicaid | NC | |
| 7181794 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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