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Organization
OUR TOWN PRIMARY CARE, PLLC
Active
Organization
OUR TOWN PRIMARY CARE, PLLC
Active
Other names
Our Town Primary Care, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY JONES GALLOWAY NP (OWNER)
(252) 714-8224
Entity
Organization
Contact information
Practice address
463 SECOND ST, AYDEN, NC 28513-7179
(252) 714-8224
Mailing address
PO BOX 133, AYDEN, NC 28513-0133
(252) 714-8224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043294382
NPPES
—
Enumeration date
07/07/2023
Last updated
09/24/2024
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