WATAUGA RECOVERY CENTERPC NPI 1508305087

NPI Information

NPI: 1508305087
Provider Name: WATAUGA RECOVERY CENTER,PC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
21563 WHYTE HARDEE BLVD
HARDEEVILLE, SC
ZIP 29927
Phone: (843) 547-4733
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WATAUGA RECOVERY CENTER,PC is an addiction medicine family medicine in Hardeeville, SC. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. WATAUGA RECOVERY CENTER,PC NPI is 1508305087. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

21563 WHYTE HARDEE BLVD
HARDEEVILLE, SC
ZIP 29927
Phone: (843) 547-4733
Fax: (843) 547-4734

The provider's authorized official is Ralph T Reach .
The authorized official title is President and has the following contact phone number (423) 631-0432.

The enumeration date for this NPI number is 2/17/2017 and was last updated on 2/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	40502	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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