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Contact Information

HOMETOWN MED OF MOYOCK AND OBX PLLC
109 CURRITUCK COMMERICAL DR STE A
MOYOCK, NC27958-9068
 Phone: 252-772-1110
 Fax: 252-319-3678
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for HOMETOWN MED OF MOYOCK AND OBX PLLC · (Female)

NPI # 1750021325
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2022
Last updated 04/26/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 1750021325
  • VA Medicaid 1073000816
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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