DR. Sally M. Revell, MD

NPI #1225212061 in Marietta, Georgia

Provider Information

NPI Number: 1225212061
Entity Type: Individual
Name: DR. Sally M. Revell, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Dec 27, 2007
Last Updated: Oct 2, 2019

Practice Location

Address: 699 CHURCH ST NE
Address 2: STE 340
City: Marietta
State: Georgia
ZIP Code: 30060
Phone: (770) 793-7613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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