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

Revival Medical Weight Loss Clinic

Organization Obesity Medicine (Preventive Medicine) Physician · NPI 1689263345

Revival Medical Weight Loss Clinic is an Obesity Medicine (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
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083B0002X

Record details

NPI number1689263345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Wainwright — Ceo · (910) 679-4312
NPI enumeratedJanuary 15, 2021
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021
Mailing address1508 Military Cutoff Rd Ste 203, Wilmington, NC 28403-5730