Organization
WATAUGA RECOVERY CENTER,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH T REACH M.D. (PRESIDENT)
(423) 631-0432
Entity
Organization
Contact information
Practice address
21563 WHYTE HARDEE BLVD, HARDEEVILLE, SC 29927
(843) 547-4733
(843) 547-4734
Mailing address
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604-1417
(423) 631-0432
(423) 631-0284
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
40502
SC
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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