Revive Continuum

NPI #1679273254 in Bristol, Virginia

Provider Information

NPI Number: 1679273254
Entity Type: Organization
Organization Name: Revive Continuum
Primary Specialty: Internal Medicine
Enumeration Date: Mar 3, 2023
Last Updated: Mar 3, 2023

Practice Location

Address: 157 LANCASTER ST
City: Bristol
State: Virginia
ZIP Code: 24201-4169
Phone: (276) 250-5500

Authorized Official

Name: JAMES ROSS SHAUBERGER, DO
Title: MEDICAL DIRECTOR
Phone: (936) 402-2935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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