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Organization

WATAUGA MEDICAL CENTER, INC

Active
Parent organization
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Other names
WATAUGA MEDICAL CENTER, INC KIDNEY DIALYSIS
Organization subpart
Yes

Provider details

NPI number
Legal business name
APPALACHIAN REGIONAL HEALTHCARE SYSTEM
Authorized official
MS. RAYANNA M MOORE (SYSTEM DIRECTOR REVENUE CYCLE)
(282) 262-9110
Entity
Organization

Contact information

Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 262-4100
(828) 262-4157
Mailing address
155 FURMAN RD, SUITE 5, BOONE, NC 28607-5049
(828) 262-4100
(828) 262-4157

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0054F
BCBS
NC
Enumeration date
08/17/2006
Last updated
01/15/2025
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