Revived Medical Spa LLC

NPI #1538837737 in Holly Springs, Georgia

Provider Information

NPI Number
1538837737
Entity Type
Organization
Organization Name
Revived Medical Spa LLC
Primary Specialty
Clinic/Center
Enumeration Date
Sep 1, 2021
Last Updated
Sep 1, 2021

Practice Location

Address
350 HILLGROVE DR
State
Georgia
ZIP Code
30114-8601
Phone
(404) 551-6686

Authorized Official

Name
TARSHA KENNEDY, NP
Title
CO-OWNER
Phone
(678) 559-2301

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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