| Revived Medical Spa Llc | |
|
350 Hillgrove Dr Holly Springs GA 30114-8601 | |
| (404) 551-6686 | |
| Not Available |
| Full Name | Revived Medical Spa Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 350 Hillgrove Dr, Holly Springs, Georgia |
| Authorized Official Name and Position | Tarsha Kennedy (CO-OWNER) |
| Authorized Official Contact | 6785592301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revived Medical Spa Llc 350 Hillgrove Dr Holly Springs GA 30114-8601 Ph: (404) 551-6686 | Revived Medical Spa Llc 350 Hillgrove Dr Holly Springs GA 30114-8601 Ph: (404) 551-6686 |
| NPI Number | 1538837737 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538837737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Olde Time Pharmacy At Sixes, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 684 Sixes Rd, Suite 105, Holly Springs, GA 30115 Phone: 678-445-4486 Fax: 678-445-3536 |