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SAM W. HUDDLESTON IV MD PC
NPI 1649641200
Specialist in Kingsport, TN

Active since October 08, 2015
2002 BROOKSIDE DR, SUITE# 201, KINGSPORT, TN 37660(423) 245-7080(423) 245-7875 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sam W. Huddleston Iv Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM W. HUDDLESTON IV MD PC (NPI 1649641200) is a healthcare organization registered as a specialist in Kingsport, Tennessee and active in the NPI registry since October 2015. The organization lists Sam W Huddleston, Owner, as its authorized official.

NPPES Registry Identity

NPI1649641200
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSAM W. HUDDLESTON IV MD PC
Location Address2002 BROOKSIDE DR, SUITE# 201Kingsport, TN 37660-4634
Mailing Address2002 Brookside Dr, Suite# 201Kingsport, TN 37660-4634 · (423) 245-7080 · Fax (423) 245-7875
Phone(423) 245-7080
Fax(423) 245-7875
Organization SubpartNo
Authorized OfficialSam W HuddlestonOwner · (423) 245-7080
Enumeration DateOctober 8, 2015
✔ NPI 1649641200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD15029
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2002 BROOKSIDE DR, Kingsport, TN 37660
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Other Identifiers 1

Medicare PIN3032417TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE R ESTES MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
MRS. SUSAN WATTS JEANSONNE MD
Pediatrics
2002 BROOKSIDE DR, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
DR. STEVEN C BUTLER M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
DR. SHELDON H FISHER DO
Obstetrics & Gynecology
2002 BROOKSIDE DR, STE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370
MRS. CINDY SUE BUTLER N.P.
Nurse Practitioner
2002 BROOKSIDE DR, SUITE102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Specialist
2002 BROOKSIDE DR, SUITE 300A
KINGSPORT, TN 37660
Sullivan County (423) 232-6900
DR. ABRAR AHMAD M.D.
Internal Medicine (Nephrology)
2002 BROOKSIDE DR, SUITE 102
KINGSPORT, TN 37660
Sullivan County (423) 245-6000
JACK R CROWDER M.D.
Obstetrics & Gynecology
2002 BROOKSIDE DR, SUITE 300
KINGSPORT, TN 37660
Sullivan County (423) 392-6370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam W. Huddleston IV MD PC's NPI number?

The NPI number for Sam W. Huddleston IV MD PC is 1649641200. It was assigned to this organization in the NPPES registry on October 8, 2015.

Where is Sam W. Huddleston IV MD PC located?

Sam W. Huddleston IV MD PC is located at 2002 Brookside Dr Suite# 201, Kingsport, TN 37660. The listed phone number is (423) 245-7080.

What is Sam W. Huddleston IV MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sam W. Huddleston IV MD PC was last updated on October 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.