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Organization
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC.
Active
Organization
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC.
Active
Parent organization
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Other names
Cannon Inpatient Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
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) 737-7000
(828) 737-7491
Mailing address
155 FURMAN RD, SUITE 101, BOONE, NC 28607-5049
(828) 263-1211
(828) 263-1211
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
H0037
NC
Other
Enumeration date
06/27/2014
Last updated
01/17/2025
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