Organization
RESTORATION CLINIC
Active
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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