| |
434 Hospital Drive Linville NC 28646-0000 | |
(828) 262-9154 | |
(828) 262-9159 |
Full Name | |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 434 Hospital Drive, Linville, North Carolina |
Authorized Official Name and Position | Mary Etta Long (SR VP MEDICAL STAFF SERVICES) |
Authorized Official Contact | 8282624133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
155 Furman Rd Ste 101 Boone NC 28607-5049 Ph: (828) 262-9100 | 434 Hospital Drive Linville NC 28646-0000 Ph: (828) 262-9154 |
NPI Number | 1518906700 |
---|---|
Provider Enumeration Date | 06/05/2006 |
Last Update Date | 01/17/2025 |
Certification Date | 01/17/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518906700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |