WATAUGA RECOVERY CENTER,PC – NPI #1508305087
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

WATAUGA RECOVERY CENTER,PC is a provider located in HARDEEVILLE, SC. NPPES has assigned the NPI number 1508305087 to WATAUGA RECOVERY CENTER,PC on February 17, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WATAUGA RECOVERY CENTER,PC below.

NPI Profile for
WATAUGA RECOVERY CENTER,PC

NPI Number
1508305087
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WATAUGA RECOVERY CENTER,PC
Primary location
21563 WHYTE HARDEE BLVD
HARDEEVILLE, SC 29927
Phone: (843) 547-4733 Fax: (843) 547-4734
Mailing address
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604-1417
Phone: (423) 631-0432 Fax: (423) 631-0284
Organization Subpart
No
Authorized Official
RALPH REACH
PRESIDENT
Phone: (423) 631-0432
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)		 SC 40502

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.