Holston Medical Group, Pc

NPI 1073869442 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1073869442
Enumeration Date 08/03/2012
Last Updated 08/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD RICHARD
Position MD, VICE PRES
Phone (423) 392-6200
Fax (423) 392-6593
Practice Location
105 W STONE DR
STE 3A
KINGSPORT TN, 37660-3365, US
Phone (423) 392-6200
Fax (423) 392-6593
Business Location
PO BOX 9
KINGSPORT TN, 37662-0009, US
Phone (423) 857-2066
Fax (423) 857-2070
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Holston Medical Group, Pc NPI is 1073869442, taxonomy code is 332B00000X Holston Medical Group, Pc physically located at 105 W Stone Dr, Kingsport TN, 37660-3365. NPI Number 1033115704 has the healthcare provider type.

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1073869442 NPI number is provided on an as is basis without warranty of any kind. 1073869442 is maintained by the National Plan & Provider Enumeration System. The contents of Holston Medical Group, Pc are for informational purposes only.