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

Samuel W Huddleston IV, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1770508525

Samuel W Huddleston IV, MD is a Plastic and Reconstructive Surgery Physician in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2002 Brookside Dr Ste 201
Kingsport, TN 37660
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

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 15029 (TN)

Record details

NPI number1770508525
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESMarch 7, 2023

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