Organization
HOMETOWN MED OF MOYOCK AND OBX PLLC
Active
Other names
Hometown Med Of Moyock and OBX PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN M WYNES NP (OWNER)
(252) 772-1110
Entity
Organization
Contact information
Practice address
109 CURRITUCK COMMERICAL DR STE A, MOYOCK, NC 27958-9068
(252) 772-1110
(252) 319-3678
Mailing address
109 CURRITUCK COMMERICAL DR STE A, MOYOCK, NC 27958-9068
(252) 772-1110
(252) 319-3678
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073000816
—
VA
05
—
1750021325
—
NC
Enumeration date
03/31/2022
Last updated
04/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us