Organization · Type 2 NPI

Sam W. Huddleston IV MD PC

Specialist · Kingsport, TN

NPI number 1649641200 Active

Practice location

2002 Brookside Dr, SUITE# 201
Kingsport, TN 37660-4634

Call (423) 245-7080 Map

Fax (423) 245-7875

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD15029 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649641200

Sam W. Huddleston IV MD PC's National Provider Identifier is 1649641200, issued on Oct 8, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kingsport, TN. The record was last updated on Oct 8, 2015.