Individual
DR. SAMUEL WINSTON HUDDLESTON V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 N STATE OF FRANKLIN RD, SUITE 31, JOHNSON CITY, TN 37604-6089
(423) 431-2478
Mailing address
820 LIBERTY BELL BLVD, APT 6, JOHNSON CITY, TN 37604-3773
(423) 895-1217
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49158
TN
Other
Enumeration date
06/23/2011
Last updated
06/23/2020
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