Organization
HOLSTON MEDICAL GROUP, PC
Active
Other names
TN DME
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA WRIGHT MD (MD, MEDICAL DIRECTOR)
(423) 857-2066
Entity
Organization
Contact information
Practice address
105 W STONE DR, STE 3A, KINGSPORT, TN 37660-3365
(423) 392-6200
(423) 392-6593
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
03/11/2021
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