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Contact Information

RESTORATION CLINIC
16850 STATE HIGHWAY 58 SOUTH
SUITE A
DECATUR, TN37322
 Phone: 423-506-3781
 Fax: 423-454-0125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for RESTORATION CLINIC

NPI Number 1174226757
LBN Legal business name RESTORATION CLINIC
Authorized official ENGLISH ROBERTS - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/23/2023
Last updated 02/06/2024 - About 2 years ago
Identifiers n/a
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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