NPI 1023785714

Revival Medical Weight Loss Clinic

Organisation Obesity Medicine (Preventive Medicine) Physician Greenville, NC

Practice location

Address: 2245 Stantonsburg Rd STE a, Greenville, NC 27834-2868
Phone: (252) 653-5022
Mailing address: 1508 Military Cutoff Rd STE 203, Wilmington, NC 28403-5730

Authorised official

Name: Amy Nealey Waiwright
Title: Ceo
Phone: (910) 679-4312

Registered specialties

Obesity Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083B0002X

Other Preventive Medicine providers in North Carolina →

Registry record

NPI: 1023785714
Entity type: Organization
NPI issued: 30 Aug 2021
Record last updated: 30 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.