HOLSTON MEDICAL GROUP PC NPI 1831110667

NPI Information

HOLSTON MEDICAL GROUP PC is a family medicine in Kingsport, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HOLSTON MEDICAL GROUP PC NPI is 1831110667. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

105 W STONE DR
3A
KINGSPORT, TN
ZIP 37660-256
Phone: (423) 392-6200
Fax: (423) 392-6583

The provider's authorized official is Alicia Wright .
The authorized official title is Md, Medical Director and has the following contact phone number (423) 857-2066.

The CLIA number assigned to this NPI record is 44D1064017 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 6/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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