# RESTORATION PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609691385
- **Authorized official:** SHANNON FOSTER (OWNER)
- **Authorized official phone:** (931) 919-4087

## Contact information

- **Practice address:** 1385 S COLLEGE ST STE 1, WINCHESTER, TN 37398-2414
- **Practice address phone:** (931) 919-4087
- **Practice address fax:** (949) 703-8231
- **Mailing address:** PO BOX 10, WINCHESTER, TN 37398-0010
- **Mailing address phone:** (931) 919-4087
- **Mailing address fax:** (949) 703-8231

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 10/23/2025