| NPI | 1174287379 |
|---|---|
| Doing Business As | RESTOR METABOLIX OF BLACKSHEAR |
| Entity Type | Organization |
| Authorized Contact | RANDALL CRAWFORD Manager 912-208-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-11-11 |