Graduated: 2024
NPI: 1508697681
Practice Locations (3)
RESTORATION CLINIC
16850 STATE HWY 58 S, SUITE A
DECATUR, TN 373227882
4235063781
MEDICAL SPECIALTIES PLLC
16850 STATE HWY 58 S, SUITE B
DECATUR, TN 373225259
4235077961
RESTORATION CLINIC
17619 STATE HWY 58 N, SUITE C
DECATUR, TN 373227882
4233342300
Source: CMS National Downloadable File, September 2026.