| NPI | 1881377299 |
|---|---|
| Other Name | REVOLUTION HEALTH |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY AGAMEDI Nurse Practitioner 336-510-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |