| Revere Wellness Llc | |
|
1333 Meadowbrook Dr Pulaski TN 38478-5002 | |
| (865) 455-4817 | |
| Not Available |
| Full Name | Revere Wellness Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1333 Meadowbrook Dr, Pulaski, Tennessee |
| Authorized Official Name and Position | Jacob Harrison (OWNER) |
| Authorized Official Contact | 8654554817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revere Wellness Llc 1333 Meadowbrook Dr Pulaski TN 38478-5002 Ph: (865) 455-4817 | Revere Wellness Llc 1333 Meadowbrook Dr Pulaski TN 38478-5002 Ph: (865) 455-4817 |
| NPI Number | 1578181277 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578181277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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