| NPI | 1558898874 |
|---|---|
| Doing Business As | REVIVE VITALITY |
| Entity Type | Organization |
| Authorized Contact | ROSS BARNETT M.D./Owner 205-588-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AL 17022747) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |