Samuel W Huddleston in Kingsport - Plastic And Reconstructive Surgery
Samuel W Huddleston - NPI 1770508525
Samuel W Huddleston is a Plastic And Reconstructive Surgery in Kingsport, Tennessee. Samuel W Huddleston practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Samuel W Huddleston is 1770508525. The last update date is 2023-03-07.
Samuel W Huddleston's current location address is 2002 Brookside Drive, Kingsport, Tennessee. You can contact this provider via phone number 4232457080 and fax number 4232457875. The mailing address for Samuel W Huddleston is 2002 Brookside Drive, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel W Huddleston |
|---|---|
| Address | 2002 Brookside Drive, Kingsport, Tennessee |
| Phone Number | 4232457080 |
| Fax Number | 4232457875 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770508525 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2002 Brookside Drive |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 37660 |
| Phone Number | 4232457080 |
| Fax Number | 4232457875 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 15029 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 384053 | ANTHEM | ||
| 15029 | LIC | ||
| 5331096 | AETNA | ||
| 3032417 | TN | -- | |
| 70707 | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Samuel W Huddleston by the Centers for Medicare & Medicaid Services?
The Samuel W Huddleston has been assigned the NPI (National Provider Identifier) 1770508525. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Samuel W Huddleston's physical address?
The Samuel W Huddleston is physically located at 2002 Brookside Drive, in the city of Kingsport, TN, with the postal code 37660.
What is the Samuel W Huddleston's specialty and taxonomy code?
The Samuel W Huddleston's specialty is Plastic And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.
When was the Samuel W Huddleston's 1770508525 issued?
The Samuel W Huddleston's 1770508525 was issued on 2006-07-13.
As of what date were the details related to Samuel W Huddleston most recently updated or revised?
The information pertaining to Samuel W Huddleston, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.