# APPLACHIAN RECOVERY CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497232540
- **Authorized official:** JUDY HENEGAR (CREDENTIALING)
- **Authorized official phone:** (423) 341-2570

## Contact information

- **Practice address:** 2726 W STATE ST, BRISTOL, TN 37620-1827
- **Practice address phone:** (423) 758-6744
- **Mailing address:** 2726 W STATE ST, BRISTOL, TN 37620-1827
- **Mailing address phone:** (423) 758-6744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2018
- **Last updated:** 04/20/2020
