Organization · Type 2 NPI

Restoration Clinic

Rural Health Clinic/Center · Decatur, TN

NPI number 1205248796 Active

Practice location

17619 State Highway 58 N Ste C
Decatur, TN 37322-7882

Mailing address

PO Box 1094
Decatur, TN 37322-1094

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

Rural Health Clinic/Center: Definition to come...

4 other providers at this address

About NPI 1205248796

Restoration Clinic's National Provider Identifier is 1205248796, issued on Jun 2, 2014. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Decatur, TN. The record was last updated on Apr 8, 2024.