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Organization

RESTORATION CLINIC

Active
Parent organization
RESTORATION CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RESTORATION CLINIC
Authorized official
ENGLISH PAIGE ROBERTS FNP (OWNER)
(423) 334-2300
Entity
Organization

Contact information

Practice address
16850 STATE HIGHWAY 58 SOUTH, SUITE A, DECATUR, TN 37322
(423) 506-3781
(423) 454-0125
Mailing address
16850 STATE HIGHWAY 58 S STE A, DECATUR, TN 37322-5259
(423) 507-7961
(423) 454-0125

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
03/23/2023
Last updated
02/06/2024
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