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Contact Information

HOLSTON MEDICAL GROUP, PC
3019 PEOPLES STREET
CONDO 300
JOHNSON CITY, TN37604
 Phone: 423-461-2100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HOLSTON MEDICAL GROUP, PC

NPI Number 1205554664
LBN Legal business name HOLSTON MEDICAL GROUP, PC
Authorized official AUDRA LAWSON - (CONTRACT ANALYST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2022
Last updated 08/19/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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