REVIVAL FUNCTIONAL NUTRITION PLLC

CHARLOTTE, NC
NPI1477375327
Entity TypeOrganization
Authorized ContactBRIAN PRIES
Doctor/Owner
414-397-0860
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
Enumeration Date2024-10-30
Last Update Date2024-10-30
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: 980-324-3363