| Restore Healthcare Medical Group | |
|
330 Camp Rd Ste B43 Charlotte NC 28206-4005 | |
| (888) 661-7730 | |
| (888) 813-2442 |
| Full Name | Restore Healthcare Medical Group |
|---|---|
| Speciality | Counselor |
| Location | 330 Camp Rd Ste B43, Charlotte, North Carolina |
| Authorized Official Name and Position | Christina Jarrett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7045599409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Healthcare Medical Group 2764 Pleasant Rd Ste 10134 Fort Mill SC 29708-7213 Ph: (888) 661-7730 | Restore Healthcare Medical Group 330 Camp Rd Ste B43 Charlotte NC 28206-4005 Ph: (888) 661-7730 |
| NPI Number | 1184120750 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184120750 | NPI | - | NPPES |
| ========= | Medicaid | NC | |
| ========= | Medicaid | SC | |
| ========= | Other | MANAGED CARE PROVIDER INSURANCE |
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