REVIVAL FUNCTIONAL NUTRITION PLLC

CHARLOTTE, NC
NPI1477375327
Entity TypeOrganization
Authorized ContactBRIAN PRIES
Doctor/Owner
980-470-3606
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
Enumeration Date2024-10-30
Last Update Date2025-07-21
Business Address
REVIVAL FUNCTIONAL NUTRITION PLLC
5527 MONROE RD
CHARLOTTE, NC 28212-5503
Phone number: 980-324-3363
Mailing Address
REVIVAL FUNCTIONAL NUTRITION PLLC
5527 MONROE RD
CHARLOTTE, NC 28212-5503
Phone number: 980-470-3606
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