Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Restore Wellness and Medspa LLC

Organization Family Medicine Physician · NPI 1275349508

Restore Wellness and Medspa LLC is a Family Medicine Physician in Atlanta, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 Rogers St NE Ste 1A
Atlanta, GA 30317-1094
Phone: (404) 890-5625
Fax: (404) 595-2547
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275349508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Eide — Physician/Owner · (404) 910-6220
NPI enumeratedDecember 11, 2024
Last updated in NPPESDecember 11, 2024
Certification dateDecember 10, 2024
Mailing address665 Grady Pl Sw, Atlanta, GA 30310-2615

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