Organization
RESTORE WELLNESS AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HOLTON APRN (OWNER)
(912) 294-6712
Entity
Organization
Contact information
Practice address
1811 MANNING DR, VIDALIA, GA 30474-8921
(912) 733-4555
(912) 575-6927
Mailing address
1811 MANNING DR, VIDALIA, GA 30474-8921
(912) 733-4555
(912) 575-6927
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
04/23/2025
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