Revive Family Medical Clinic, LLC
Revive Family Medical Clinic, LLC is a Clinic/Center in Columbus, Mississippi. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3549 Bluecutt RdColumbus, MS 39705-1324
Phone: (662) 386-1541
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1902577554 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Micah Grant — Nurse Practitioner · (662) 570-4174 |
| NPI enumerated | September 23, 2021 |
| Last updated in NPPES | November 18, 2021 |
| Certification date | November 18, 2021 |
| Mailing address | 3549 Bluecutt Rd, Columbus, MS 39705-1324 |
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