REVIVE MD

BRENTWOOD, TN
NPI1700107547
Doing Business AsBLUESKY MD
Entity TypeOrganization
Authorized ContactDAPHNE BAKER LODGE
President
615-690-6600
Organization Subpart ?No
Primary Taxonomy207VB0002X Obstetrics & Gynecology, Bariatric Medicine
(Licence: TN  26575)
Enumeration Date2010-06-16
Last Update Date2010-06-16
Business Address
REVIVE MD
1804 WILLIAMSON CT SUITE 107
BRENTWOOD, TN 37027-8170
Phone number: 615-690-6600
Mailing Address
REVIVE MD
1804 WILLIAMSON CT SUITE 107
BRENTWOOD, TN 37027-8170
Phone number: 615-690-6600