|Entity Type||Healthcare Provider|
|Active||Over 6 years ago|
|110 DUTCHMAN CT
ELKIN NC, 28621-2237, US
|PO BOX 100
JACKSON NJ, 08527-0100, US
|License State||North Carolina|
|Remove 1164729257 NPI Number|
According to our database, Revival Pain Management, Inc NPI is 1164729257, taxonomy code is 208VP0014X and license number is 200201393, license state is located at North Carolina. Revival Pain Management, Inc physically located at 110 Dutchman Ct, Elkin NC, 28621-2237. NPI Number 1033115704 has the healthcare provider type.
1164729257 NPI number is provided on an as is basis without warranty of any kind. 1164729257 is maintained by the National Plan & Provider Enumeration System. The contents of Revival Pain Management, Inc are for informational purposes only.