Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Watauga Medical Center, Inc

Organization Hematology & Oncology Physician · NPI 1174867667

Watauga Medical Center, Inc provides Hematology & Oncology Physician services in Jefferson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

257 Medical Park Dr
Jefferson, NC 28640-9561
Phone: (336) 246-2404
Fax: (336) 246-2420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence H0037 (NC)

Record details

NPI number1174867667
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAppalachian Regional Health Care System
Authorized official Mary Long — Sr Vp Medical Staff Relations · (828) 262-4133
Other names Seby B. Jones Regional Cancer Center - Ashe
NPI enumeratedNovember 21, 2012
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address155 Furman Rd, Suite 101, Boone, NC 28607-5049