| Revive Integrated Medical Pc | |
|
1011 Middle Creek Rd Ste 103 Sevierville TN 37862-2940 | |
| (865) 908-2699 | |
| Not Available |
| Full Name | Revive Integrated Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 1011 Middle Creek Rd Ste 103, Sevierville, Tennessee |
| Authorized Official Name and Position | John Hood (OWNER) |
| Authorized Official Contact | 8659082699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Integrated Medical Pc 1101 Fox Meadows Blvd Ste 103 Sevierville TN 37862-6937 Ph: (865) 908-2699 | Revive Integrated Medical Pc 1011 Middle Creek Rd Ste 103 Sevierville TN 37862-2940 Ph: (865) 908-2699 |
| NPI Number | 1932917937 |
|---|---|
| Provider Enumeration Date | 12/21/2024 |
| Last Update Date | 12/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932917937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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