Hometown Direct Primary Care PLLC
Clinic/Center, Primary Care in Coats, NC. Organization (NPI-2).
NPI number1164042412
StatusActive
Last updated in NPPESApr 10, 2025
Details
- NPI
- 1164042412
- Entity type
- Organization (NPI-2)
- Legal business name
- Hometown Direct Primary Care PLLC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2020
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
124 E Stewart StCoats, NC 27521-8352
Phone 919-901-7344 · Fax 877-807-8251
Mailing address
3949 Chalybeate Springs RdFuquay Varina, NC 27526-6207
Phone 919-910-7344 · Fax 319-250-7453
Authorized official
Crystal B Rambeau
Owner
9199017344
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