Healthcare Provider Details

I. General information

NPI: 1144748948
Provider Name (Legal Business Name): APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2017
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 STATE FARM RD
BOONE NC
28607-4948
US

IV. Provider business mailing address

336 DEERFIELD RD
BOONE NC
28607-5008
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-2340
  • Fax: 828-262-0731
Mailing address:
  • Phone: 828-263-1211
  • Fax: 828-262-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNC

VIII. Authorized Official

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