Huddleston, Samuel W

Huddleston, Samuel W is an individual health care provider with primary practice located at 2002 Brookside Drive Ste 201, Kingsport TN 37660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Huddleston, Samuel W can be contacted via phone (423) 245-7080.

Contact Information

Primary practice address
2002 Brookside Drive Ste 201 Kingsport TN 37660
Phone: (423) 245-7080
Fax: (423) 245-7875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 15029 Tennessee

Profile Details

NPI number 1770508525
LBN Legal business name Huddleston, Samuel W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770508525 NPPES
Other 384053 ANTHEM
Other 15029 ANTHEM
Other 5331096 ANTHEM
MEDICAID 3032417 ANTHEM
Other 0070707 ANTHEM

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