Provider Demographics
NPI:1578250304
Name:RESTOR METABOLIX OF SAVANNAH
Entity Type:Organization
Organization Name:RESTOR METABOLIX OF SAVANNAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-590-2184
Mailing Address - Street 1:1000 TOWNE CENTER BLVD STE 602
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-4071
Mailing Address - Country:US
Mailing Address - Phone:912-228-3502
Mailing Address - Fax:
Practice Address - Street 1:1000 TOWNE CENTER BLVD STE 602
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4071
Practice Address - Country:US
Practice Address - Phone:912-228-3502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center