Watauga Recovery Center,pc
Family Medicine, Addiction Medicine in Hardeeville, SC. Organization (NPI-2).
NPI number1508305087
StatusActive
Last updated in NPPESFeb 17, 2017
Details
- NPI
- 1508305087
- Entity type
- Organization (NPI-2)
- Legal business name
- Watauga Recovery Center,pc
- Organization subpart
- No
- Enumeration date
- Feb 17, 2017
- Last updated
- Feb 17, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | 40502 | SC | Yes |
Practice location
21563 Whyte Hardee BlvdHardeeville, SC 29927
Phone 843-547-4733 · Fax 843-547-4734
Mailing address
3114 Browns Mill RdJohnson City, TN 37604-1417
Phone 423-631-0432 · Fax 423-631-0284
Authorized official
Ralph T Reach
President
4236310432
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