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Organization
RESTORE HEALTHCARE MEDICAL GROUP
Active
Organization
RESTORE HEALTHCARE MEDICAL GROUP
Active
Other names
Restore Healthcare Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA JARRETT (EXECUTIVE DIRECTOR)
(704) 559-9408
Entity
Organization
Contact information
Practice address
13850 BALLANTYNE CORPORATE PL STE 500, CHARLOTTE, NC 28277-2830
(704) 559-9408
Mailing address
4258 HIGHWAY 49 SOUTH, STE 584, HARRISBURG, NC 28075
(704) 559-9408
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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