Revive Hydration and Functional Health LLC

NPI #1558128314 in Douglas, Georgia

Provider Information

NPI Number
1558128314
Entity Type
Organization
Organization Name
Revive Hydration and Functional Health LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Feb 28, 2024
Last Updated
Feb 28, 2024

Practice Location

Address
1150 WARD STREET EXT W STE B1
State
Georgia
ZIP Code
31533-1913
Phone
(912) 720-5450

Authorized Official

Name
BOBBY J GUESS JR., FNP-C
Title
OWNER
Phone
(912) 720-5450

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Infusion TherapyInfusion Therapy
Clinic/Center - Medical SpecialtyMedical Specialty

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