Healthcare Provider Details

I. General information

NPI: 1780327148
Provider Name (Legal Business Name): APPALACHIAN REGIONAL MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2022
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 102
BOONE NC
28607-4862
US

IV. Provider business mailing address

155 FURMAN RD STE 101
BOONE NC
28607-5049
US

V. Phone/Fax

Practice location:
  • Phone: 828-264-0029
  • Fax: 828-265-3305
Mailing address:
  • Phone: 828-262-4133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MARY ETTA LONG
Title or Position: SVP MEDICAL STAFF RELATIONS
Credential:
Phone: 828-262-4133