Organization
RESTORATION CONCEPTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP J GOLDBERG (PRESIDENT)
(704) 481-8379
Entity
Organization
Contact information
Practice address
809 N LAFAYETTE ST, SUITE A, SHELBY, NC 28150-3978
(704) 481-8379
(704) 481-8571
Mailing address
809 N LAFAYETTE ST, SUITE A, SHELBY, NC 28150-3978
(704) 481-8379
(704) 481-8571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006097
—
NC
Enumeration date
07/14/2010
Last updated
07/28/2010
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