# RESTORE FIRST HEALTH MARIETTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restore First Health Marietta LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487378071
- **Authorized official:** RANDALL LEE HAUPT (EXECUTIVE VICE PRESIDENT, SGI)
- **Authorized official phone:** (470) 292-3820

## Contact information

- **Practice address:** 2550 WINDY HILL RD SE STE 115, MARIETTA, GA 30067-8607
- **Practice address phone:** (678) 580-2684
- **Mailing address:** 2550 WINDY HILL RD SE STE 115, MARIETTA, GA 30067-8607
- **Mailing address phone:** (678) 580-2684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2022
- **Last updated:** 10/29/2024