Organization · Type 2 NPI
Revive Wound Care Ga LLC
General Practice Physician · Clarkston, GA
NPI number
1548082274
Active
Practice location
980 Rowland St, Ste 5140 #1111
Clarkston, GA 30021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Home Health Agency | 251E00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1548082274
Revive Wound Care Ga LLC's National Provider Identifier is 1548082274, issued on Oct 24, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Clarkston, GA. The record was last updated on Oct 24, 2024.