NPI | 1770259061 |
---|---|
Doing Business As | RESTORE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | SHAWN BARRIEAU Managing Director 709-729-2727 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2021-08-18 |
Last Update Date | 2023-04-10 |