Organization
HOLSTON MEDICAL GROUP, PC
Active
Other names
Med Plaza Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA LAWSON (CONTRACT ANALYST)
(423) 857-2066
Entity
Organization
Contact information
Practice address
105 W STONE DR STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1570
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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