| Bsbymfclinical | |
|
908 Chadwick Dr Apt 6 Kingsport TN 37660-5661 | |
| (276) 285-8906 | |
| Not Available |
| Full Name | Bsbymfclinical |
|---|---|
| Speciality | Adult Companion |
| Location | 908 Chadwick Dr Apt 6, Kingsport, Tennessee |
| Authorized Official Name and Position | Timothy Malcolm Mead (OPEATOR) |
| Authorized Official Contact | 2762858906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsbymfclinical 908 Chadwick Dr Apt 6 Kingsport TN 37660-5661 Ph: (276) 285-8906 | Bsbymfclinical 908 Chadwick Dr Apt 6 Kingsport TN 37660-5661 Ph: (276) 285-8906 |
| NPI Number | 1952120610 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952120610 | NPI | - | NPPES |
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