VIRGINIA REVILL

NEWPORT, TN
NPI1144859802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TN  27359)
Enumeration Date2020-04-05
Last Update Date2023-11-01
Business Address
VIRGINIA REVILL
1586 DEPAUL RD
NEWPORT, TN 37821-6280
Phone number: 678-793-5448
Mailing Address
VIRGINIA REVILL
1586 DEPAUL RD
NEWPORT, TN 37821-6280
Phone number: 678-793-5448