Organization
HOMETOWN PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ANN HOLLAND NP (OWNER)
(910) 275-0195
Entity
Organization
Contact information
Practice address
102 N MAIN STREET, SUITE 2, KENANSVILLE, NC 28349-0001
(910) 275-0195
(910) 275-0192
Mailing address
PO BOX 9, KENANSVILLE, NC 28349-0009
(910) 275-0195
(910) 275-0192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
03/03/2016
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