# HOLSTON PEDIATRIC AND ADOLESCENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285723585
- **Authorized official:** DR. JOSEPH R MORIN MD (OWNER)
- **Authorized official phone:** (423) 378-6202

## Contact information

- **Practice address:** 698 CLINCHFIELD ST, KINGSPORT, TN 37660-3630
- **Practice address phone:** (423) 378-6202
- **Practice address fax:** (423) 246-8907
- **Mailing address:** 698 CLINCHFIELD ST, KINGSPORT, TN 37660-3630
- **Mailing address phone:** (423) 378-6202
- **Mailing address fax:** (423) 246-8907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | MD0000011946 | TN | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 06/17/2008