Graduated: 2019
NPI: 1932758828
Practice Locations (2)
RESTORATION CLINIC
16850 STATE HWY 58 S, SUITE A
DECATUR, TN 373227882
4235063781
RESTORATION CLINIC
17619 STATE HWY 58 N, SUITE C
DECATUR, TN 373227882
4233342300
Source: CMS National Downloadable File, September 2026.