| Organization Name: | HOMETOWN FAMILY MEDICINE, INC. |
| NPI Number: | 1013318070 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KALA BLAKELY (OWNER/NURSE PRACTITIONER) |
| Mailing Address: | 2846 Moody Pkwy Moody |
| State: | AL US |
| Postal Code: | 350043328 |
| Phone Number: | 2056401756 |
| Fax Number: | 2056401796 |
| NPI Enumeration Date: | 09/09/2014 |
| NPI Last Update Date: | 10/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 1124159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |