Organization · Type 2 NPI
Watauga Recovery Center,pc
Addiction Medicine (Family Medicine) Physician · Hardeeville, SC
NPI number
1508305087
Active
Practice location
21563 Whyte Hardee Blvd
Hardeeville, SC 29927
Fax (843) 547-4734
Mailing address
3114 Browns Mill Rd
Johnson City, TN 37604-1417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 40502 (SC) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1508305087
Watauga Recovery Center,pc's National Provider Identifier is 1508305087, issued on Feb 17, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Hardeeville, SC. The record was last updated on Feb 17, 2017.