Organization
THOMAS STURDAVANT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STURDAVANT MD (OWNER)
(228) 860-4448
Entity
Organization
Contact information
Practice address
113 CASSELL DR, KINGSPORT, TN 37660-3775
(423) 246-7240
Mailing address
PO BOX 416, KINGSPORT, TN 37662-0416
(423) 246-7240
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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