| Revive Continuum | |
|
157 Lancaster St Bristol VA 24201-4169 | |
| (276) 250-5500 | |
| Not Available |
| Full Name | Revive Continuum |
|---|---|
| Speciality | Internal Medicine |
| Location | 157 Lancaster St, Bristol, Virginia |
| Authorized Official Name and Position | James Ross Shauberger (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9364022935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Continuum 15329 Woodstone Cir Bristol VA 24202-4023 Ph: (276) 245-6085 | Revive Continuum 157 Lancaster St Bristol VA 24201-4169 Ph: (276) 250-5500 |
| NPI Number | 1679273254 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 03/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679273254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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