Organization
RESTORE METABOLIX OF VIDALIA
Active
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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