HOLSTON PEDIATRIC AND ADOLESCENT CARE NPI 1285723585

NPI Information

  • NPI: 1285723585
  • Provider Name: HOLSTON PEDIATRIC AND ADOLESCENT CARE
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 698 CLINCHFIELD ST
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 378-6202

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NPI Details

HOLSTON PEDIATRIC AND ADOLESCENT CARE is an adolescent medicine pediatrics in Kingsport, TN. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. HOLSTON PEDIATRIC AND ADOLESCENT CARE NPI is 1285723585. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

698 CLINCHFIELD ST
KINGSPORT, TN
ZIP 37660-630
Phone: (423) 378-6202
Fax: (423) 246-8907

The provider's authorized official is Joseph R Morin .
The authorized official title is Owner and has the following contact phone number (423) 378-6202.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineMD0000011946TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B03869MEDICARE UPINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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