Revive Wellness, PC
NPI #1932732187 in Rogersville, Tennessee
Provider Information
- NPI Number
- 1932732187
- Entity Type
- Organization
- Organization Name
- Revive Wellness, PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 17, 2020
- Last Updated
- Feb 17, 2020
Practice Location
- Address
- 850 W MAIN ST
- City
- Rogersville
- State
- Tennessee
- ZIP Code
- 37857-3663
- Phone
- (423) 500-0266
Authorized Official
- Name
- CRYSTAL DYER, MD
- Title
- PRESIDENT
- Phone
- (423) 552-1531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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