Organization
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC.
Active
Organization
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC.
Active
Other names
Outpatient Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS)
(828) 262-4133
Entity
Organization
Contact information
Practice address
434 HOSPITAL DRIVE, LINVILLE, NC 28646-0787
(828) 737-7000
(828) 262-4103
Mailing address
434 HOSPITAL DRIVE, LINVILLE, NC 28646-0787
(828) 737-7000
(828) 262-4103
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
H0077
NC
Other
Enumeration date
02/20/2015
Last updated
01/15/2025
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