| NPI | 1487378071 | 
|---|---|
| Doing Business As | RESTORE FIRST HEALTH MARIETTA LLC | 
| Entity Type | Organization | 
| Authorized Contact | RANDALL LEE HAUPT Executive Vice President, Sgi 470-292-3820  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2022-09-28 | 
| Last Update Date | 2024-10-29 |