Organization
RESTORE FIRST HEALTH RIVERDALE LLC
Active
Organization
RESTORE FIRST HEALTH RIVERDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL LEE HAUPT MHA (EXECUTIVE VICE PRESIDENT, SGI)
(931) 494-7057
Entity
Organization
Contact information
Practice address
34 UPPER RIVERDALE RD SE STE 101, RIVERDALE, GA 30274-2635
(470) 292-3820
(470) 280-9511
Mailing address
10680 MEDLOCK BRIDGE RD STE 101, JOHNS CREEK, GA 30097-8420
(470) 292-3820
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
10/29/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up