WATAUGA RECOVERY CENTER WYTHEVILLE NPI 1952852261

NPI Information

NPI: 1952852261
Provider Name: WATAUGA RECOVERY CENTER WYTHEVILLE
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
255 HOLSTON RD
WYTHEVILLE, VA
ZIP 04382
Phone: (276) 227-0206
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WATAUGA RECOVERY CENTER WYTHEVILLE is an addiction medicine family medicine in Wytheville, VA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. WATAUGA RECOVERY CENTER WYTHEVILLE NPI is 1952852261. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

255 HOLSTON RD
WYTHEVILLE, VA
ZIP 04382-448
Phone: (276) 227-0206
Fax: (276) 227-0856

The provider's authorized official is Betty C Linke .
The authorized official title is Executive Assistant and has the following contact phone number (423) 631-0432.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.

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	0101041174	VIRGINIA	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: 5/5/2024

NPI Synchronization or Removal

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