WATAUGA RECOVERY CENTER,PC (NPI# 1508305087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508305087 |
| Entity Type | Organization |
| Organization Name | WATAUGA RECOVERY CENTER,PC |
| Practice Address |
21563 Whyte Hardee Blvd Hardeeville SC 29927 |
| Mailing Address |
3114 Browns Mill Rd Johnson City TN 37604-1417 |
| Practice Telephone | 8435474733 |
| Practice Fax Number | 8435474734 |
| Mailing Telephone | 4236310432 |
| Mailing Fax Number | 4236310284 |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | DR. RALPH T REACH (PRESIDENT) |
| Authorized Official Telephone | 4236310432 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
40502 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
21563 WHYTE HARDEE BLVD |
| City | HARDEEVILLE |
| State | SC |
| Zip Code | 29927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730546755 | Sara Silva | Counselor | 290 New River Parkway, Hardeville, SC 29927 | 2016-01-21 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1407283757 | Jann Denoncour | Occupational Therapist | 150 Hurricane Alley, Hardeeville, SC 29927 | 2013-10-02 |
| 1255609871 | Freds Stores of Tennessee Inc. | Pharmacy | 21361 Whyte Hardee Blvd., Hardeeville, SC 29927 | 2011-12-09 |
| 1538316575 | Coastal Carolina Medical Center Inc | Emergency Medicine | 1000 Medical Drive, Hardeeville, SC 29927 | 2008-08-21 |
| 1548350937 | Robert Leroy Irby | Pharmacist | 522 Stiney Rd, Hardeeville, SC 29927 | 2006-10-13 |
| 1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
| 1720006554 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4400 Highway 278, Hardeeville, SC 29927 | 2006-07-18 |
| 1891737961 | Peter Frank | Family Medicine | 21563 A Whyte Hardee Blvd, Hardeeville, SC 29927 | 2006-06-12 |
| 1407378508 | Rebecca Lynn Darroudi | Family Medicine | 176 Dermis Rd, Hardeeville, SC 29927 | 2017-07-10 |
| Find all providers in zip 29927 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280396 | Achieve Behavioral Health, LLC | Family Medicine | 81 Pointe Cir Ste A, Greenville, SC 29615-3505 | 2019-08-14 |
| 1629050794 | Richard Lawrence Sherman | Family Medicine | 3 Roseberry Ln, Simpsonville, SC 29681-3620 | 2005-11-15 |
| 1942296181 | William M Scott IIi | Family Medicine | 206 Wall St, Piedmont, SC 29673-6754 | 2005-09-22 |
| 1104812692 | Fleetwood Internal Medicine Pa | Family Medicine | 109b Fleetwood Dr, Easley, SC 29640-2019 | 2005-09-21 |
| 1962015685 | Ovp Health Care, Inc. | Family Medicine | 709 Mill St, Camden, SC 29020-4738 | 2020-08-24 |
| 1568937647 | Breakthrough Medical, LLC | Family Medicine | 114b Hospital Dr, Simpsonville, SC 29681-3226 | 2018-10-04 |
| 1316459811 | Turning Point Behavioral Health Services | Family Medicine | 1107 Belleview St, Columbia, SC 29201-1810 | 2017-10-25 |
| 1477947927 | Patiently LLC | Family Medicine | 217 Calhoun St, Charleston, SC 29401-1313 | 2015-03-23 |
| 1972756609 | Roy E. Smith, M.d. | Family Medicine | 1111 Mill St, Camden, SC 29020-3763 | 2008-10-28 |
| 1538251368 | Raymond Van Grubbs | Family Medicine | 3 Roseberry Ln, Simpsonville, SC 29681-3620 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
| City | HARDEEVILLE |
| Zip Code | 29927 |
Please comment or provide details below to improve the information on WATAUGA RECOVERY CENTER,PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.