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Organization

HOLSTON MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAWNA ARMSTRONG (CFO)
(423) 857-2066
Entity
Organization

Contact information

Practice address
105 W STONE DR, 3A, KINGSPORT, TN 37660-3256
(423) 392-6200
(423) 392-6583
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
2080P0206X
Pediatric Gastroenterology Physician
208100000X
Physical Medicine & Rehabilitation Physician
2085B0100X
Body Imaging Physician
208600000X
Surgery Physician
208M00000X
Hospitalist Physician
332B00000X
Durable Medical Equipment & Medical Supplies
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3720181
TN
05
3720182
TN
05
3720183
TN
05
3720184
TN
Enumeration date
07/21/2006
Last updated
11/06/2025
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