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1245958693
HOLSTON MEDICAL GROUP, PC
JOHNSON CITY, TN
NPI
1245958693
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Entity Type
Organization
Authorized Contact
AUDRA LAWSON
Contract Analyst
423-857-2066
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
HOLSTON MEDICAL GROUP, PC
3019 PEOPLES STREET CONDO 300, STE 2B
JOHNSON CITY, TN 37604
Phone number: 423-578-1570
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Mailing Address
HOLSTON MEDICAL GROUP, PC
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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