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STATE OF THE BODY LLC
NPI 1194541292
Clinic/Center - Primary Care in Baltimore, MD

Active since November 23, 2024
1133 WEDGEWOOD RD, BALTIMORE, MD 21229(919) 880-8115 Get Directions Write a Review

NPPES record last updated: November 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About State Of The Body Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF THE BODY LLC (NPI 1194541292) is a healthcare organization registered as a primary care in Baltimore, Maryland and active in the NPI registry since November 2024. The organization lists Eboni Mccoy, President, as its authorized official.

NPPES Registry Identity

NPI1194541292
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSTATE OF THE BODY LLC
Location Address1133 WEDGEWOOD RDBaltimore, MD 21229-1247
Mailing Address1133 Wedgewood RdBaltimore, MD 21229-1247 · (919) 880-8115
Phone(919) 880-8115
Organization SubpartNo
Authorized OfficialEboni MccoyPresident · (919) 880-8115
Enumeration DateNovember 23, 2024
NPPES CertifiedNovember 23, 2024
✔ NPI 1194541292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1133 WEDGEWOOD RD, Baltimore, MD 21229
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Other Names 1

Doing Business AsState Of The Body Llc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of The Body LLC's NPI number?

The NPI number for State Of The Body LLC is 1194541292. It was assigned to this organization in the NPPES registry on November 23, 2024.

Where is State Of The Body LLC located?

State Of The Body LLC is located at 1133 Wedgewood Rd, Baltimore, MD 21229. The listed phone number is (919) 880-8115.

What is State Of The Body LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for State Of The Body LLC was last updated on November 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.