Individual
TIMOTHY MALCOLM MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2108 ANDERSON ST, BRISTOL, TN 37620-1916
(276) 285-8906
Mailing address
908 CHADWICK DR APT 6, KINGSPORT, TN 37660-5661
(276) 285-8906
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
TN
208D00000X
General Practice Physician
Primary
12052009162300420
ZZ
Other
Enumeration date
10/08/2024
Last updated
11/04/2024
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