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Organization
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC
Active
Organization
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ETTA LONG RHIA-CPMSM (SR VP MEDICAL STAFF SERVICES)
(828) 262-4133
Entity
Organization
Contact information
Practice address
434 HOSPITAL DRIVE, LINVILLE, NC 28646-0787
(828) 262-9154
(828) 262-9159
Mailing address
PO BOX 787, LINVILLE, NC 28646-0787
(828) 262-9154
(828) 262-9159
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
01/15/2025
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