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Organization

RESTORE HEALTHCARE MEDICAL GROUP

Active
Other names
Restore Healthcare Medical Supplies
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA JARRETT (EXECUTIVE DIRECTOR)
(704) 559-9408
Entity
Organization

Contact information

Practice address
13850 BALLANTYNE CORPORATE PL STE 500, CHARLOTTE, NC 28277-2830
(704) 559-9408
Mailing address
4258 HIGHWAY 49 SOUTH, STE 584, HARRISBURG, NC 28075
(704) 559-9408

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
Primary
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
10/01/2018
Last updated
10/01/2018
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