| Revive Wellness Of Kennesaw Llc | |
|
2819 Dallas St Nw Kennesaw GA 30144-2705 | |
| (770) 401-6686 | |
| Not Available |
| Full Name | Revive Wellness Of Kennesaw Llc |
|---|---|
| Speciality | General Practice |
| Location | 2819 Dallas St Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Julia Everheart (OFFICE MANAGER) |
| Authorized Official Contact | 4703709280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Wellness Of Kennesaw Llc 2819 Dallas St Nw Kennesaw GA 30144-2705 Ph: (770) 212-1425 | Revive Wellness Of Kennesaw Llc 2819 Dallas St Nw Kennesaw GA 30144-2705 Ph: (770) 401-6686 |
| NPI Number | 1033049390 |
|---|---|
| Provider Enumeration Date | 05/20/2026 |
| Last Update Date | 06/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033049390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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