Organization
RESTORE HEALTH PLLC
Active
Other names
Restore Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHINITA REED DUDLEY M.D. (OWNER)
(601) 957-7343
Entity
Organization
Contact information
Practice address
1551 E COUNTY LINE RD, JACKSON, MS 39211-1801
(601) 957-7343
(601) 957-7344
Mailing address
1551 E COUNTY LINE RD, JACKSON, MS 39211-1801
(601) 957-7343
(601) 957-7344
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
18239
MS
Other
Enumeration date
12/09/2015
Last updated
04/08/2016
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