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1073285987
REVIVAL PSYCHIATRY
ATHENS, AL
NPI
1073285987
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Entity Type
Organization
Authorized Contact
JACOB SCOTT
Owner
256-431-6469
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-09-29
Last Update Date
2021-09-29
Business Address
REVIVAL PSYCHIATRY
15884 E LIMESTONE RD
ATHENS, AL 35613-7522
Phone number: 256-431-6469
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Mailing Address
REVIVAL PSYCHIATRY
15884 E LIMESTONE RD
ATHENS, AL 35613-7522
Phone number: 256-431-6469
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