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Organization

HOLSTON MEDICAL GROUP, PC

Active
Other names
Sapling Grove Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
AUDRA LAWSON (CONTRACT ANALYST)
(423) 857-2066
Entity
Organization

Contact information

Practice address
240 MEDICAL PARK BLVD STE 1500, BRISTOL, TN 37620-7353
(423) 990-2460
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
207X00000X
Orthopaedic Surgery Physician
Primary
213E00000X
Podiatrist

Other

Enumeration date
08/19/2022
Last updated
08/19/2022
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