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WATAUGA MEDICAL CENTER INC. NPI 1174867667


NPI Information

NPI: 1174867667
Provider Name: WATAUGA MEDICAL CENTER, INC.

Doing Business As: SEBY B. JONES REGIONAL CANCER CENTER - ASHE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
257 MEDICAL PARK DR
JEFFERSON, NC
ZIP 28640
Phone: (336) 246-2404
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WATAUGA MEDICAL CENTER, INC. is a hematology and oncology internal medicine in Jefferson, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. WATAUGA MEDICAL CENTER, INC. NPI is 1174867667. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Seby B. Jones Regional Cancer Center - Ashe.

The provider's business location address is:

257 MEDICAL PARK DR
JEFFERSON, NC
ZIP 28640-561
Phone: (336) 246-2404
Fax: (336) 246-2420

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 enumeration date for this NPI number is 11/21/2012 and was last updated on 11/21/2012.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyH0037NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A746MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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