| NPI | 1750021325 |
|---|---|
| Doing Business As | HOMETOWN MED OF MOYOCK AND OBX PLLC |
| Entity Type | Organization |
| Authorized Contact | CARMEN M WYNES Owner 252-772-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-04-26 |