Organization
RESTORE HEALTH PLLC
Active
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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