Healthcare Provider Details

I. General information

NPI: 1225471980
Provider Name (Legal Business Name): APPALACHIAN REGIONAL MEDICAL ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2013
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 STATE FARM RD SUITE 100
BOONE NC
28607-4861
US

IV. Provider business mailing address

336 DEERFIELD RD
BOONE NC
28607-5008
US

V. Phone/Fax

Practice location:
  • Phone: 828-386-2663
  • Fax: 828-386-2664
Mailing address:
  • Phone: 828-262-1211
  • Fax: 828-262-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

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