RESTORE WELLNESS AND AESTHETICS - NPI 1356108906 - General Practice in Vidalia, GA

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About Restore Wellness And Aesthetics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORE WELLNESS AND AESTHETICS (NPI 1356108906) is a healthcare organization registered as a general practice in Vidalia, Georgia and active in the NPI registry since February 2024. The organization lists Cynthia Holton, Owner, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1356108906

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameRESTORE WELLNESS AND AESTHETICS

Location Address1811 MANNING DRVidalia, GA 30474-8921

Mailing Address1811 Manning DrVidalia, GA 30474-8921 · (912) 733-4555 · Fax (912) 575-6927

Phone(912) 733-4555

Fax(912) 575-6927

Organization SubpartNo

Authorized OfficialCynthia HoltonOwner · (912) 294-6712

Enumeration DateFebruary 29, 2024

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1356108906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1811 MANNING DR, Vidalia, GA 30474

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP