person
Samuel W Huddleston IV, MD
Plastic and Reconstructive Surgery Physician in Kingsport, Tennessee
NPI 1770508525

Samuel W Huddleston IV is a Plastic and Reconstructive Surgery Physician based in Kingsport, TN and is specialized in Plastic and Reconstructive Surgery. Samuel W Huddleston IV practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Samuel W Huddleston IV is 1770508525 and holds a License No. 15029 (Tennessee).

The current practice location address for Samuel W Huddleston IV is 2002 Brookside Drive, Kingsport, TN and can be reached out via phone at 423-245-7080 and via fax at 423-245-7875.

Location: 2002 Brookside Drive, Kingsport, TN, 37660
person
Provider Profile Details
NPI Number
1770508525
Provider Name
Samuel W Huddleston IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2002 Brookside Drive, Kingsport, TN, 37660
Phone Number
423-245-7080
Fax Number
423-245-7875
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
384053 01 ANTHEM
15029 01 LIC
5331096 01 AETNA
3032417 05 TN
0070707 01 BCBS
institution
Provider Business Practice Location Address Details
Address
2002 Brookside Drive
City
State
Zip
37660
Phone Number
423-245-7080
Fax Number
423-245-7875
person
Provider Business Mailing Address Details
Address
2002 Brookside Drive
City
State
Zip
37660
Phone Number
423-245-7080
Fax Number
423-245-7875
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
15029 (Tennessee)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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