Organization
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC
Active
Other names
Cannon OP Behavioral Health
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 28646-0000
(828) 262-9154
(828) 262-9159
Mailing address
155 FURMAN RD STE 101, BOONE, NC 28607-5049
(828) 262-9100
(828) 262-4157
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/05/2006
Last updated
01/17/2025
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