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336 Deerfield Rd Boone NC 28607-5008 | |
| (828) 262-4133 | |
| (828) 262-4103 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 336 Deerfield Rd, Boone, North Carolina |
| Authorized Official Name and Position | Mary Etta Long (SVP) |
| Authorized Official Contact | 8282624133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2600 Boone NC 28607-2600 Ph: (828) 262-4133 | 336 Deerfield Rd Boone NC 28607-5008 Ph: (828) 262-4133 |
| NPI Number | 1265068027 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265068027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
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