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Contact Information

RESTORE HEALTHCARE MEDICAL GROUP
330 CAMP RD STE B43
CHARLOTTE, NC28206-4005
 Phone: 888-661-7730
 Fax: 888-813-2442
 Website:
Indicates primary specialty

NPI Profile & details for RESTORE HEALTHCARE MEDICAL GROUP

NPI Number 1184120750
LBN Legal business name RESTORE HEALTHCARE MEDICAL GROUP
Authorized official CHRISTINA JARRETT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2018
Last updated 10/28/2021 - About 5 years ago
Identifiers
NC Medicaid =========
SC Medicaid =========
Other ========= MANAGED CARE PROVIDER INSURANCE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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