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

Revived Medical Spa LLC

Organization Clinic/Center · NPI 1538837737

Revived Medical Spa LLC is a Clinic/Center in Holly Springs, Georgia. 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.

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Practice location Address checks out

350 Hillgrove Dr
Holly Springs, GA 30114-8601
Phone: (404) 551-6686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1538837737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tarsha Kennedy — Co-Owner · (678) 559-2301
NPI enumeratedSeptember 1, 2021
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021
Mailing address350 Hillgrove Dr, Holly Springs, GA 30114-8601

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