Organization · Type 2 NPI
Revive Wellness and Aesthetics LLC
Primary Care Clinic/Center · Indianola, MS
NPI number
1669291308
Active
Practice location
110A S Mlk Jr Dr
Indianola, MS 38751-2622
Fax (662) 445-2214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Indianola
About NPI 1669291308
Revive Wellness and Aesthetics LLC's National Provider Identifier is 1669291308, issued on Oct 9, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Indianola, MS. The record was last updated on Oct 9, 2024.