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REVIVE WOUND CARE GA LLC
NPI 1548082274
General Practice in Clarkston, GA

Active since October 24, 2024
980 ROWLAND ST, STE 5140 #1111, CLARKSTON, GA 30021(951) 760-6216 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Wound Care Ga Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE WOUND CARE GA LLC (NPI 1548082274) is a healthcare organization registered as a general practice in Clarkston, Georgia and active in the NPI registry since October 2024. The organization lists Paul Davis, Manager, as its authorized official.

NPPES Registry Identity

NPI1548082274
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREVIVE WOUND CARE GA LLC
Location Address980 ROWLAND ST, STE 5140 #1111Clarkston, GA 30021
Mailing Address980 Rowland St, Ste 5140 #1111Clarkston, GA 30021 · (951) 760-6216
Phone(951) 760-6216
Organization SubpartNo
Authorized OfficialPaul DavisManager · (951) 760-6216
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1548082274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedHome HealthTaxonomy 251E00000X
980 ROWLAND ST, Clarkston, GA 30021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Wound Care Ga LLC's NPI number?

The NPI number for Revive Wound Care Ga LLC is 1548082274. It was assigned to this organization in the NPPES registry on October 24, 2024.

Where is Revive Wound Care Ga LLC located?

Revive Wound Care Ga LLC is located at 980 Rowland St Ste 5140 #1111, Clarkston, GA 30021. The listed phone number is (951) 760-6216.

What is Revive Wound Care Ga LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Revive Wound Care Ga LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.