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Organization
BSBYMF. LLC
Active
Organization
BSBYMF. LLC
Active
Parent organization
BSBYMF. LLC
Other names
bsbyMFclinical
Organization subpart
Yes
Provider details
NPI number
Legal business name
BSBYMF. LLC
Authorized official
TIMOTHY MALCOLM MEAD HEALTH COORDINATOR (OPEATOR)
(276) 285-8906
Entity
Organization
Contact information
Practice address
908 CHADWICK DR APT 6, KINGSPORT, TN 37660-5661
(276) 285-8906
Mailing address
908 CHADWICK DR APT 6, KINGSPORT, TN 37660-5661
(276) 285-8906
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
374J00000X
Doula
—
NULL
374J00000X
Doula
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
Other
Enumeration date
10/09/2024
Last updated
11/04/2024
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