# HOMETOWN MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639777378
- **Authorized official:** MONIQUE I. TORRES PA-C (OWNER/PA-C)
- **Authorized official phone:** (910) 474-0050

## Contact information

- **Practice address:** 1231 N MAIN ST, LILLINGTON, NC 27546-8286
- **Practice address phone:** (910) 474-0050
- **Practice address fax:** (863) 228-8484
- **Mailing address:** 130 PINE STATE ST, SUITE C, LILLINGTON, NC 27546
- **Mailing address phone:** (910) 474-0050
- **Mailing address fax:** (863) 228-8484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2020
- **Last updated:** 09/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1922562834 | BCBS | NC |
| 05 | — | 1922562834 | — | NC |
