| Restore Wellness And Aesthetics | |
|
1811 Manning Dr Vidalia GA 30474-8921 | |
| (912) 733-4555 | |
| (912) 575-6927 |
| Full Name | Restore Wellness And Aesthetics |
|---|---|
| Speciality | General Practice |
| Location | 1811 Manning Dr, Vidalia, Georgia |
| Authorized Official Name and Position | Cynthia Holton (OWNER) |
| Authorized Official Contact | 9122946712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Wellness And Aesthetics 1811 Manning Dr Vidalia GA 30474-8921 Ph: (912) 733-4555 | Restore Wellness And Aesthetics 1811 Manning Dr Vidalia GA 30474-8921 Ph: (912) 733-4555 |
| NPI Number | 1356108906 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 04/23/2025 |
| Medicare PECOS PAC ID | 3173066255 |
|---|---|
| Medicare Enrollment ID | O20240617003879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356108906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Cynthia Kaye Holton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912252792 PECOS PAC ID: 0547426025 Enrollment ID: I20120727000460 |
Misty D. Poole, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Wheeler County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maple Dr, Vidalia, GA 30474 Phone: 912-537-0616 Fax: 912-537-0617 | |
Southeast Regional Primary Care Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-535-5120 | |
Vidalia Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1702 Meadows Ln, Vidalia, GA 30474 Phone: 912-805-2198 Fax: 912-805-2997 | |
Tattnall Hospital Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Edwina Drive, Vidalia, GA 30474 Phone: 912-537-9779 Fax: 912-537-2124 | |
Wiggins Family Practice Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-2530 Fax: 912-537-2540 | |
Vidalia Neurology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Lane, Suite A, Vidalia, GA 30474 Phone: 912-537-9779 |