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

Sam W. Huddleston IV MD PC

Organization Specialist · NPI 1649641200

Sam W. Huddleston IV MD PC is a Specialist 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
Phone: (423) 245-7080
Fax: (423) 245-7875
Show map & directions

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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