NPI | 1487378071 |
---|---|
Doing Business As | RESTORE FIRST HEALTH MARIETTA LLC |
Entity Type | Organization |
Authorized Contact | RANDALL LEE HAUPT Director Of Operations 678-580-2684 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-09-28 |
Last Update Date | 2022-09-28 |