Samuel W Huddleston IV MD

NPI 1770508525 - Surgery - 2086S0122X

NPI Details
NPI 1770508525
Gender Male
Enumeration Date 07/13/2006
Last Updated 12/04/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2002 BROOKSIDE DRIVE
STE 201
KINGSPORT TN, 37660, US
Phone (423) 245-7080
Fax (423) 245-7875
Business Location
2002 BROOKSIDE DRIVE
STE 201
KINGSPORT TN, 37660, US
Phone (423) 245-7080
Fax (423) 245-7875
Toxanomy
Taxonomy Code 2086S0122X
License State Tennessee
License Number 15029
Remove 1770508525 NPI Number
 

According to our database, Samuel W Huddleston IV MD NPI is 1770508525, taxonomy code is 2086S0122X and license number is 15029, license state is located at Tennessee. Samuel W Huddleston IV MD physically located at 2002 Brookside Drive, Kingsport TN, 37660. NPI Number Samuel W Huddleston IV MD has the Individual type.

Sponsored links

1770508525 NPI number is provided on an as is basis without warranty of any kind. 1770508525 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel W Huddleston IV MD are for informational purposes only.