Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIVE WELLNESS AND AESTHETICS LLC
Active OrganizationREVIVE WELLNESS AND AESTHETICS LLC is a Primary Care Clinic organization located in INDIANOLA, Mississippi. NPI 1669291308 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · INDIANOLA, MS
Registration Details
- NPI Number
- 1669291308
- Provider Type
- Organization
- NPI Issued
- Oct 9, 2024 (1.8795584406774 yrs)
- Last Updated
- Oct 9, 2024
Practice Information
- Address
-
110A S MLK JR DRINDIANOLA, MS, 387512622Browse MS providers · Browse ZIP 38751
- Phone
- 6624452213
- Fax
- 6624452214
- Primary Specialty
-
Primary Care Clinic
261QP2300X
Other Primary Care Clinic Organizations in INDIANOLA, MS
| Name | NPI |
|---|---|
| INDIANOLA WELLNESS CLINIC, LLC | 1508393000 |
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.