RESTORATION RX NPI 1699506196

NPI Information

  • NPI: 1699506196
  • Provider Name: RESTORATION RX
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 3119 MONTREAUX VALLEY DR
    INDIAN LAND, SC
    ZIP 29707
  • Phone: (704) 315-4180

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NPI Details

RESTORATION RX is a family nurse practitioner in Indian Land, SC. RESTORATION RX NPI is 1699506196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3119 MONTREAUX VALLEY DR
INDIAN LAND, SC
ZIP 29707-216
Phone: (704) 315-4180

The provider's authorized official is Josselyn P Cash .
The authorized official title is Authorized Official and has the following contact phone number (704) 315-4180.

The enumeration date for this NPI number is 8/8/2024 and was last updated on 8/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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