Mac's Medicine Mart Dba Unique Boutique
Prosthetic & Orthotic Supplier
1455 E Center St Ste 2b, Kingsport
Tennessee, 37664-2501
423-246-2646 423-765-9111
Maps & DirectionsMac's Medicine Mart Dba Unique Boutique is a Prosthetic & Orthotic Supplier in Kingsport, Tennessee. This organization is also known as sub part of Mac's Medicine Mart, Inc. It is situated at 1455 E Center St Ste 2b, Kingsport and its contact number is 423-246-2646. The authorized person of Mac's Medicine Mart Dba Unique Boutique is Dr. Barry Walton
who is President of the store and his/her contact number is 423-245-2181.
Mac's Medicine Mart Dba Unique Boutique is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Mac's Medicine Mart Dba Unique Boutique Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 1455 E Center St Ste 2b, Kingsport, Tennessee, 37664-2501 |
| Phone: | 423-246-2646 |
| Fax: | 423-765-9111 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Barry Walton |
| Position: | President |
| Contact Number: | 423-245-2181 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mac's Medicine Mart Dba Unique Boutique center are as mentioned below.
| NPI Number: | 1841761947 |
| Parent Organization: | Mac's Medicine Mart, Inc |
| NPI Enumeration Date: | 16 Dec, 2018 |
| NPI Last Update On: | 21 Aug, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mac's Medicine Mart Dba Unique Boutique are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0417510002 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mac's Medicine Mart Dba Unique Boutique 1455 E Center St Ste 2b, Kingsport, Tennessee |
| Zip: | 37664-2501 |
| Phone Number: | 423-246-2646 |
| Fax Number: | 423-765-9111 |
Patients can reach Mac's Medicine Mart Dba Unique Boutique at
1455 E Center St Ste 2b, Kingsport, Tennessee or can
call to book an appointment on 423-246-2646.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.