Revive Wound Care Ga LLC
Revive Wound Care Ga LLC is a General Practice Physician in Clarkston, 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
980 Rowland St Ste 5140 #1111Clarkston, GA 30021
Phone: (951) 760-6216
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
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Home Health Agency | Taxonomy 251E00000X |
Record details
| NPI number | 1548082274 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paul Davis — Manager · (951) 760-6216 |
| NPI enumerated | October 24, 2024 |
| Last updated in NPPES | October 24, 2024 |
| Certification date | October 17, 2024 |
| Mailing address | 980 Rowland St, Ste 5140 #1111, Clarkston, GA 30021 |