Revive Health and Wellness, LLC
NPI #1255068425 in Ocean Springs, Mississippi
Provider Information
- NPI Number
- 1255068425
- Entity Type
- Organization
- Organization Name
- Revive Health and Wellness, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 6, 2022
- Last Updated
- Aug 6, 2022
Practice Location
- Address
- 2112 BIENVILLE BLVD STE M1
- City
- Ocean Springs
- State
- Mississippi
- ZIP Code
- 39564-3027
- Phone
- (228) 324-5347
Authorized Official
- Name
- TRACI J WHITE, NP
- Title
- OWNER
- Phone
- (228) 324-5347
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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