Healthcare Provider Details

I. General information

NPI: 1437760345
Provider Name (Legal Business Name): FREEDOM2CARE DPC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2020
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 KEISLER DR STE 102
CARY NC
27518-7097
US

IV. Provider business mailing address

515 KEISLER DR STE 102
CARY NC
27518-7097
US

V. Phone/Fax

Practice location:
  • Phone: 984-200-9001
  • Fax: 200-984-5352
Mailing address:
  • Phone: 984-200-9001
  • Fax: 200-984-5352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: BOUASY LY HUNEYCUTT
Title or Position: PRESIDENT/PHYSICIAN
Credential: MD
Phone: 984-200-9001