Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revival Medical Group

Organization Public Health & General Preventive Medicine Physician · NPI 1184381469

Revival Medical Group is a Public Health & General Preventive Medicine Physician in Wilmington, North Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1508 Military Cutoff Rd Ste 203
Wilmington, NC 28403-5730
Phone: (910) 679-4312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X

Record details

NPI number1184381469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Nealey — Director · (910) 679-4312
NPI enumeratedNovember 22, 2021
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021
Mailing address1508 Military Cutoff Rd Ste 203, Wilmington, NC 28403-5730

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