Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sam W. Huddleston IV MD PC

Organization Specialist · NPI 1649641200

Sam W. Huddleston IV MD PC provides Specialist services in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2015.

Licensed in
TN
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2002 Brookside Dr Suite# 201
Kingsport, TN 37660-4634 Not confirmed with CMS for 10 years — call before visiting
Phone: (423) 245-7080
Fax: (423) 245-7875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD15029 (TN)

Record details

NPI number1649641200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Huddleston — Owner · (423) 245-7080
NPI enumeratedOctober 8, 2015
Last updated in NPPESOctober 8, 2015
Mailing address2002 Brookside Dr, Suite# 201, Kingsport, TN 37660-4634

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