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Organization
AT HOME MD LLC
Active
Organization
AT HOME MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY LINEBERRY (CEO)
(276) 266-3149
Entity
Organization
Contact information
Practice address
1123 E STUART DR, GALAX, VA 24333-2513
(276) 266-3149
Mailing address
1123 E STUART DR, GALAX, VA 24333-2513
(276) 266-3149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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