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Organization

WATAUGA MEDICAL CENTER INC

Active
Parent organization
WATAUGA MEDICAL CENTER INC
Other names
Pulmonology Inpatient
Organization subpart
Yes

Provider details

NPI number
Legal business name
WATAUGA MEDICAL CENTER INC
Authorized official
MARY ETTA LONG (SVP MEDICAL STAFF RELATIONS)
(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
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
12/30/2019
Last updated
01/15/2025
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