Organization
RESTORATHENS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS REITER (COO)
(937) 545-1218
Entity
Organization
Contact information
Practice address
394 S MILLEDGE AVE, ATHENS, GA 30605-5626
(470) 767-0443
(762) 356-4331
Mailing address
394 S MILLEDGE AVE, ATHENS, GA 30605-5626
(470) 767-0443
(762) 356-4331
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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