| Holston Medical Group, Pc | |
|
3019 Peoples Street Condo 300 Johnson City TN 37604 | |
| (423) 461-2100 | |
| Not Available |
| Full Name | Holston Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 3019 Peoples Street, Johnson City, Tennessee |
| Authorized Official Name and Position | Audra Lawson (CONTRACT ANALYST) |
| Authorized Official Contact | 4238572066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holston Medical Group, Pc Po Box 9 Kingsport TN 37662-0009 Ph: (423) 857-2066 | Holston Medical Group, Pc 3019 Peoples Street Condo 300 Johnson City TN 37604 Ph: (423) 461-2100 |
| NPI Number | 1205554664 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205554664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
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