Alan  M  Harben    MD
Contract Details
Restore Health Group, Inc
Facility name
Provider ID
P000002654
NPI
1669652095
Tax ID
582569093
Effective Date
12/15/2010
Last Updated
2/22/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
BC
Billed Charges Multiplier
85.00
Location Details
Address
11180 Crabapple Rd
Roswell, GA 30075
United States
County
Fulton
Phone
6782779275 (Phone)
Billing Details
Address
11180 Crabapple Rd
Roswell, GA 30075
Specialty Type
Pain Management
Map
Address