Organization
WATAUGA RECOVERY CENTER GREENEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH T REACH M.D. (PRESIDENT)
(423) 823-5550
Entity
Organization
Contact information
Practice address
819 W CHURCH STREET, GREENEVILLE, TN 37745
(423) 823-5550
(423) 823-9724
Mailing address
819 W CHURCH ST, GREENEVILLE, TN 37745-3259
(423) 823-5550
(423) 823-9724
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
41263
TN
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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