| Organization Name: | WATAUGA MEDICAL CENTER, INC. |
| NPI Number: | 1033548052 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS) |
| Mailing Address: | 336 Deerfield Rd Boone |
| State: | NC US |
| Postal Code: | 286075008 |
| Phone Number: | 8282655493 |
| Fax Number: | 8282661176 |
| NPI Enumeration Date: | 11/12/2013 |
| NPI Last Update Date: | 11/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | H0077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |