Restore Wellness And Aesthetics | |
1805 Manning Dr Vidalia GA 30474-8921 | |
(912) 307-2090 | |
(912) 575-6927 |
Full Name | Restore Wellness And Aesthetics |
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Speciality | General Practice |
Location | 1805 Manning Dr, Vidalia, Georgia |
Authorized Official Name and Position | Cynthia Holton (OWNER) |
Authorized Official Contact | 9122946712 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restore Wellness And Aesthetics 1805 Manning Dr Vidalia GA 30474-8921 Ph: (912) 307-2090 | Restore Wellness And Aesthetics 1805 Manning Dr Vidalia GA 30474-8921 Ph: (912) 307-2090 |
NPI Number | 1356108906 |
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Provider Enumeration Date | 02/29/2024 |
Last Update Date | 02/29/2024 |
Medicare PECOS PAC ID | 3173066255 |
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Medicare Enrollment ID | O20240617003879 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356108906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Cynthia Kaye Holton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912252792 PECOS PAC ID: 0547426025 Enrollment ID: I20120727000460 |
Wheeler County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maple Dr, Vidalia, GA 30474 Phone: 912-537-0616 Fax: 912-537-0617 | |
Vidalia Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 Meadows Ln, Vidalia, GA 30474 Phone: 912-805-2198 Fax: 912-805-2997 | |
Wiggins Family Practice Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-2530 Fax: 912-537-2540 | |
Vidalia Neurology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Lane, Suite A, Vidalia, GA 30474 Phone: 912-537-9779 |