Individual
DR. PRESTON S DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
101 PROFESSIONAL PARK PVT DR, KINGSPORT, TN 37663-2288
(423) 239-9122
(423) 239-7991
Mailing address
4012 FORT HENRY DR, KINGSPORT, TN 37663-2028
(423) 239-9122
(423) 239-7991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557713
VA
2255A2300X
Athletic Trainer
2000040788
VA
Other
Enumeration date
01/07/2021
Last updated
06/03/2024
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