Revive MD
Revive MD is an Obesity Medicine (Obstetrics & Gynecology) Physician in Brentwood, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.
- Licensed in
- TN
- In the registry since
- 2010
Practice location Address checks out
1804 Williamson Ct Ste 107Brentwood, TN 37027-8170
Phone: (615) 690-6600
Fax: (615) 690-6604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obesity Medicine (Obstetrics & Gynecology) Physician (primary) | Taxonomy 207VB0002X · Licence 26575 (TN) |
|---|
Record details
| NPI number | 1700107547 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daphne Lodge — President · (615) 690-6600 |
| Other names | Bluesky Md |
| NPI enumerated | June 16, 2010 |
| Last updated in NPPES | June 16, 2010 |
| Mailing address | 1804 Williamson Ct, Suite 107, Brentwood, TN 37027-8170 |