Restorativ
NPI #1134778988 in Madison, Mississippi
Provider Information
- NPI Number
- 1134778988
- Entity Type
- Organization
- Organization Name
- Restorativ
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Sep 4, 2019
- Last Updated
- Sep 4, 2019
Practice Location
- Address
- 129 FOUNTAINS BLVD STE 101
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6361
- Phone
- (769) 300-0730
Authorized Official
- Name
- ANGEL VANCE, RN
- Title
- DIRECTOR
- Phone
- (769) 300-0730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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