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Organization
HOLSTON PEDIATRIC AND ADOLESCENT CARE
Active
Organization
HOLSTON PEDIATRIC AND ADOLESCENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R MORIN MD (OWNER)
(423) 378-6202
Entity
Organization
Contact information
Practice address
698 CLINCHFIELD ST, KINGSPORT, TN 37660-3630
(423) 378-6202
(423) 246-8907
Mailing address
698 CLINCHFIELD ST, KINGSPORT, TN 37660-3630
(423) 378-6202
(423) 246-8907
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD0000011946
TN
Other
Enumeration date
10/12/2006
Last updated
06/17/2008
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