Revive Hydration and Functional Health LLC
Revive Hydration and Functional Health LLC is an Infusion Therapy Clinic/Center in Douglas, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1150 Ward Street Ext W Ste B1Douglas, GA 31533-1913
Phone: (912) 720-5450
Fax: (866) 611-2696
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|---|
| Infusion Therapy Clinic/Center | Taxonomy 261QI0500X |
Record details
| NPI number | 1558128314 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bobby Guess — Owner · (912) 720-5450 |
| NPI enumerated | February 28, 2024 |
| Last updated in NPPES | February 28, 2024 |
| Certification date | February 28, 2024 |
| Mailing address | 1150 Ward Street Ext W Ste B1, Douglas, GA 31533-1913 |
Other providers in Douglas
-
I V Care of Middle Georgia Inc
1206 Ocilla Rd, Douglas, GA 31533-2220 · (478) 374-6662