WATAUGA MEDICAL CENTER INC. NPI 1033548052

NPI Information

WATAUGA MEDICAL CENTER, INC. is a pain clinic center in Boone, NC. WATAUGA MEDICAL CENTER, INC. NPI is 1033548052. The provider is registered as an organization entity type.
The provider Is Doing Business As Appalachian Regional Pain Management Center.

The provider's business location address is:

336 DEERFIELD RD
BOONE, NC
ZIP 28607-008
Phone: (828) 265-5493
Fax: (828) 266-1176

The provider's authorized official is Mary Etta Long .
The authorized official title is Sr Vp Medical Staff Relations and has the following contact phone number (828) 262-4133.

The CLIA number assigned to this NPI record is 34D2196934 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 11/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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