Healthcare Provider Details

I. General information

NPI: 1669971826
Provider Name (Legal Business Name): APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 STATE FARM RD STE 2
BOONE NC
28607-4861
US

IV. Provider business mailing address

PO BOX 18594
BELFAST ME
04915-4080
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-0029
  • Fax: 828-265-0030
Mailing address:
  • Phone: 828-262-4100
  • Fax: 828-262-4157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY ETTA LONG
Title or Position: SR. VP MEDICAL STAFF RELATIONS
Credential:
Phone: 828-262-4133