| Med First Immediate Care & Family Practice Pa | |
|
5130 Southport Supply Rd Se Ste 101 Southport NC 28461-9262 | |
| (910) 269-2053 | |
| (910) 363-4905 |
| Full Name | Med First Immediate Care & Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5130 Southport Supply Rd Se Ste 101, Southport, North Carolina |
| Authorized Official Name and Position | Paul Feneck (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9193414016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med First Immediate Care & Family Practice Pa 1616 E Millbrook Rd Ste 110 Raleigh NC 27609-4971 Ph: (919) 341-4016 | Med First Immediate Care & Family Practice Pa 5130 Southport Supply Rd Se Ste 101 Southport NC 28461-9262 Ph: (910) 269-2053 |
| NPI Number | 1821518564 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821518564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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