Organization
HIGHLANDS PATHOLOGY CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R. HUDGENS M.D. (MEDICAL DIRECTOR)
(423) 844-3220
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620
(423) 844-3220
(423) 844-3114
Mailing address
2175 HIGHWAY 75, STE 4, BLOUNTVILLE, TN 37617
(423) 323-5290
(423) 323-5653
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
1956
TN
291U00000X
Clinical Medical Laboratory
Primary
1956
TN
Other
Enumeration date
12/22/2005
Last updated
10/20/2016
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