| Restor Metabolix Of Savannah | |
|
1000 Towne Center Blvd Ste 602 Pooler GA 31322-4071 | |
| (912) 228-3502 | |
| Not Available |
| Full Name | Restor Metabolix Of Savannah |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Towne Center Blvd Ste 602, Pooler, Georgia |
| Authorized Official Name and Position | Pamela Melissa Hood (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 9125902184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restor Metabolix Of Savannah 1000 Towne Center Blvd Ste 602 Pooler GA 31322-4071 Ph: (912) 228-3502 | Restor Metabolix Of Savannah 1000 Towne Center Blvd Ste 602 Pooler GA 31322-4071 Ph: (912) 228-3502 |
| NPI Number | 1578250304 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Medicare PECOS PAC ID | 2466818927 |
|---|---|
| Medicare Enrollment ID | O20230525002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578250304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | John R Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043240047 PECOS PAC ID: 7012984784 Enrollment ID: I20040913000715 |
| Provider Name | Randall Crawford Jr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740678739 PECOS PAC ID: 6901124858 Enrollment ID: I20150406001498 |
| Provider Name | Jessica Alferink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235627464 PECOS PAC ID: 7416209358 Enrollment ID: I20181004001062 |
| Provider Name | Courtney Lofton Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043874050 PECOS PAC ID: 4981937927 Enrollment ID: I20190606002535 |
| Provider Name | Todd Howard Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750003539 PECOS PAC ID: 8426428566 Enrollment ID: I20230105001471 |
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