| Revive Wellness, Pc | |
|
850 W Main St Rogersville TN 37857-3663 | |
| (423) 500-0266 | |
| Not Available |
| Full Name | Revive Wellness, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 850 W Main St, Rogersville, Tennessee |
| Authorized Official Name and Position | Crystal Dyer (PRESIDENT) |
| Authorized Official Contact | 4235521531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Wellness, Pc 850 W Main St Rogersville TN 37857-3663 Ph: (423) 500-0266 | Revive Wellness, Pc 850 W Main St Rogersville TN 37857-3663 Ph: (423) 500-0266 |
| NPI Number | 1932732187 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932732187 | NPI | - | NPPES |
| 44247 | Other | TN | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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