NPI | 1407093990 |
---|---|
Doing Business As | WATAUGA INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | MARY ETTA LONG Sr VP Medical Staff Relations 828-262-4133 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 33835) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 27800) |
207R00000X Internal Medicine (Licence: NC 28595) | |
Enumeration Date | 2009-01-21 |
Last Update Date | 2013-03-26 |