Organization
HOLSTON MEDICAL GROUP, PC
Active
Other names
HMG Primary Care/Specialists at Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA LAWSON (CONTRACT ANALYST)
(423) 857-2066
Entity
Organization
Contact information
Practice address
3019 PEOPLES STREET, CONDO 300, JOHNSON CITY, TN 37604
(423) 461-2100
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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