Organization
WATAUGA MEDICAL CENTER INC
Active
Other names
Neurology Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ETTA LONG (SVP)
(828) 262-4133
Entity
Organization
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 262-4133
(828) 262-4103
Mailing address
PO BOX 2600, BOONE, NC 28607-2600
(828) 262-4133
(828) 262-4103
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
01/08/2025
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