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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL W HUDDLESTON IV, MD

Active

SAMUEL W HUDDLESTON IV, MD is a Plastic and Reconstructive Surgery healthcare provider located in KINGSPORT, Tennessee. NPI 1770508525 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · KINGSPORT, TN

Registration Details

NPI Number
1770508525
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2006 (20.057982315948 yrs)
Last Updated
Mar 7, 2023
License
15029 (TN)

Practice Information

Address
2002 BROOKSIDE DRIVE
STE 201
KINGSPORT, TN, 37660
Browse TN providers · Browse ZIP 37660
Phone
4232457080
Fax
4232457875
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in KINGSPORT, TN

Name Credential NPI
DR. ERIC DOUGLAS EMBERTON M.D. 1487032041
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.