NPI 1295453652
Holston Medical Group, PC
Practice location
- Address
- 240 Medical Park Blvd STE 1500, Bristol, TN 37620-7353
- Phone
- (423) 990-2460
- Mailing address
- PO Box 9, Kingsport, TN 37662-0009
Authorised official
- Name
- Audra Lawson
- Title
- Contract Analyst
- Phone
- (423) 857-2066
Registered specialties (3)
Orthopaedic Surgery Physician
Primary
Sports Medicine (Internal Medicine) Physician
Podiatrist
Registry record
- NPI
- 1295453652
- Entity type
- Organization
- NPI issued
- 19 Aug 2022
- Record last updated
- 19 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.