Organization · Type 2 NPI
Revive Skin and Wound PLLC
Physician Assistant · Mooresville, NC
Practice location
116 Round Keep Ln
Mooresville, NC 28117-8091
Fax (213) 559-9971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
Another provider at this address
Other physician assistant providers in Mooresville
About NPI 1144186404
Revive Skin and Wound PLLC's National Provider Identifier is 1144186404, issued on Dec 30, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mooresville, NC. The record was last updated on Dec 30, 2025.