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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVE HYDRATION AND FUNCTIONAL HEALTH LLC

Active Organization

REVIVE HYDRATION AND FUNCTIONAL HEALTH LLC is a Medical Specialty Clinic organization located in DOUGLAS, Georgia. NPI 1558128314 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · DOUGLAS, GA

Registration Details

NPI Number
1558128314
Provider Type
Organization
NPI Issued
Feb 28, 2024 (2.4895015140877 yrs)
Last Updated
Feb 28, 2024

Practice Information

Address
1150 WARD STREET EXT W STE B1
DOUGLAS, GA, 315331913
Browse GA providers · Browse ZIP 31533
Phone
9127205450
Fax
8666112696
Primary Specialty
Medical Specialty Clinic
261QM2500X
Additional Specialty
Medical Specialty Clinic

Other Medical Specialty Clinic Organizations in DOUGLAS, GA

Name NPI
DOUGLAS VASCULAR CENTER, LLC 1619244555
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.