Fastmed Holdings, Pllc

NPI #1154880813 in Clayton, North Carolina

Provider Information

NPI Number: 1154880813
Entity Type: Organization
Organization Name: Fastmed Holdings, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Mar 13, 2019
Last Updated: Mar 13, 2019

Practice Location

Address: 11491 US HIGHWAY 70, WEST
Address 2: SUITE B
City: Clayton
State: North Carolina
ZIP Code: 27520-5598
Phone: (919) 550-2584

Authorized Official

Name: SHELLEY JANE STAYMATES
Title: NAT. CREDENTIALING MANAGER
Phone: (480) 500-2285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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