Organization
WATAUGA RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH THOMAS REACH M.D. (PRESIDENT)
(423) 631-0432
Entity
Organization
Contact information
Practice address
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604
(423) 631-0432
Mailing address
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604-1417
(423) 631-0432
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
41263
TN
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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