Revival Wound Specialists LLC
NPI #1689531709 in Perry, Georgia
Provider Information
- NPI Number
- 1689531709
- Entity Type
- Organization
- Organization Name
- Revival Wound Specialists LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 9, 2026
- Last Updated
- Jan 9, 2026
Practice Location
Authorized Official
- Name
- DAT LE, NP
- Title
- OWNER
- Phone
- (470) 979-7018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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