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 | O20140729000468 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205248796 | NPI | - | NPPES |
Provider Name | Larry G Crisp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275693921 PECOS PAC ID: 9537116652 Enrollment ID: I20050331001051 |
Provider Name | English Paige Roberts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326384991 PECOS PAC ID: 2365668365 Enrollment ID: I20140729000525 |
Provider Name | Amanda B Carr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043686389 PECOS PAC ID: 8325357494 Enrollment ID: I20151013000588 |
Provider Name | Janet M Reece |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306221213 PECOS PAC ID: 5799094736 Enrollment ID: I20151014001998 |
Provider Name | Tracey Jolene Jenkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568918878 PECOS PAC ID: 4587940952 Enrollment ID: I20170419001748 |
Provider Name | Hannah Toomey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023540291 PECOS PAC ID: 7113273491 Enrollment ID: I20180628000973 |
Provider Name | Amanda Ann Morgan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467935817 PECOS PAC ID: 4880931245 Enrollment ID: I20190123004221 |
Provider Name | Kerri Hopkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255804019 PECOS PAC ID: 6406266832 Enrollment ID: I20201113000525 |
Provider Name | Jamie Mclemore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134729965 PECOS PAC ID: 4981016383 Enrollment ID: I20201208002905 |
Provider Name | Karen L Eller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720661549 PECOS PAC ID: 5799187829 Enrollment ID: I20210713001092 |
Restoration Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare 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 | |
Meigs County Primary Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 River Rd, Decatur, TN 37322 Phone: 423-334-4154 Fax: 423-334-4195 |