| NPI | 1699140152 |
|---|---|
| Doing Business As | RESTORE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHINITA REED DUDLEY Owner 601-957-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS 18239) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-04-08 |