Restoration Clinic | |
17619 State Highway 58 N Ste C Decatur TN 37322-7882 | |
(423) 506-3781 | |
Not Available |
Full Name | Restoration Clinic |
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Speciality | Clinic/Center |
Location | 17619 State Highway 58 N Ste C, Decatur, Tennessee |
Authorized Official Name and Position | English Paige Roberts (OWNER) |
Authorized Official Contact | 4235063781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restoration Clinic Po Box 1094 Decatur TN 37322-1094 Ph: (423) 506-3781 | Restoration Clinic 17619 State Highway 58 N Ste C Decatur TN 37322-7882 Ph: (423) 506-3781 |
NPI Number | 1205248796 |
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Provider Enumeration Date | 06/02/2014 |
Last Update Date | 04/08/2024 |
Medicare PECOS PAC ID | 1456577451 |
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Medicare Enrollment ID | O20180627003041 |
Identifier | Type | State | Issuer |
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1205248796 | NPI | - | NPPES |
Restoration Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16850 State Highway 58 South, Suite A, Decatur, TN 37322 Phone: 423-506-3781 Fax: 423-454-0125 | |
R. Shane Roberts, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 398 N Main St, Decatur, TN 37322 Phone: 423-334-2222 Fax: 423-334-2255 | |
R. Shane Roberts, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 398 N Main St, Decatur, TN 37322 Phone: 423-334-2222 Fax: 423-334-2255 | |