34D2143865 CLIA NUMBER - MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA

Laboratory Demographics

CLIA Number: 34D2143865

Facility Name: MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA

Facility Address:
211 BONNIE BROOK ROAD
ABERDEEN, NC
ZIP 28315
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Facility Phone Number: 910 716-0099

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1699273219

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	34D2143865
LAB Type	Practitioner Other
Facility Name	MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA
Street	211 BONNIE BROOK ROAD
City	ABERDEEN
State	NC
ZIP	28315
Phone	910 716-0099
CertificateType	4
CertificateEffectiveDate	2/7/2024
CertificateExpirationDate	2/6/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024