Organization
RESTORE WELLNESS AND MEDSPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY EIDE MD (PHYSICIAN/OWNER)
(404) 910-6220
Entity
Organization
Contact information
Practice address
112 ROGERS ST NE STE 1A, ATLANTA, GA 30317-1094
(404) 890-5625
(404) 595-2547
Mailing address
665 GRADY PL SW, ATLANTA, GA 30310-2615
(404) 910-6220
(404) 595-2547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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