Organization
RESTORE METABOLIX OF VIDALIA
Active
Other names
Restor Metabolix of Vidalia
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HOLTON NP (OWNER)
(912) 294-6712
Entity
Organization
Contact information
Practice address
1805 MANNING DR, VIDALIA, GA 30474-8921
(912) 307-2090
Mailing address
1805 MANNING DR, VIDALIA, GA 30474-8921
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/14/2022
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