Organization
HOMETOWN HEALTHCARE OF BYRON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY PULLIAM (MEMBER)
(478) 654-5327
Entity
Organization
Contact information
Practice address
103 MOSELEY RD, BYRON, GA 31008-7148
(478) 654-5327
(478) 654-5218
Mailing address
PO BOX 2247, BYRON, GA 31008-2247
(478) 654-5327
(478) 654-5218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/04/2021
Last updated
11/12/2021
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