Organization
WATAUGA RECOVERY CENTER WYTHEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY C LINKE (EXECUTIVE ASSISTANT)
(423) 631-0432
Entity
Organization
Contact information
Practice address
255 HOLSTON RD, WYTHEVILLE, VA 04382-4448
(276) 227-0206
(276) 227-0856
Mailing address
255 HOLSTON RD, WYTHEVILLE, VA 24382-4448
(276) 227-0206
(276) 227-0856
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
0101041174
VA
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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