| NPI | 1780339663 |
|---|---|
| Other Name | REVIVEHEALTH |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ANDREW ESKEW CEO And Cmo 336-687-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |