Organization
RESTORED HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRPICH JOSEPH (M.D.)
(678) 699-1332
Entity
Organization
Contact information
Practice address
483 INDIAN TRAIL LILBURN RD NW, LILBURN, GA 30047-3717
(770) 923-4433
Mailing address
590 BARONY CV, SUWANEE, GA 30024-3085
(678) 699-1332
(678) 482-1134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
792206505A
—
GA
01
—
939881908A
GBHC
GA
Enumeration date
05/09/2007
Last updated
12/10/2024
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