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REVIVE & REMEDY, LLC 1528735602

Overview
Name: REVIVE & REMEDY, LLC Specialty: Health Service Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Health Service. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: REVIVE & REMEDY, LLC,2851 SHELBY ST,BARTLETT,TN,381344509,US Mailing Address: REVIVE & REMEDY, LLC,2851 SHELBY ST,BARTLETT,TN,381344509,US
Contact #
Practice location phone #: 9013358541 Practice location fax #: 9014259685 Mailing address Phone #: 9018421480 Mailing Address fax #: 9014259685 Authorized official Name/Telephone #:TERRI, TRICHEL, WALLACE-BASKEN, FNP, OWNER 9013358541
Misc
Date NPI was obtained: 08/25/2021 Last data data was updated: 02/02/2022 Insurances:

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