NPI 1033049390

Revive Wellness of Kennesaw LLC

Organisation General Practice Physician Kennesaw, GA

Practice location

Address: 2819 Dallas St NW, Kennesaw, GA 30144-2705
Phone: (770) 401-6686

Authorised official

Name: Julia Everheart
Title: Office Manager
Phone: (470) 370-9280

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Georgia →

Registry record

NPI: 1033049390
Entity type: Organization
NPI issued: 20 May 2026
Record last updated: 24 Jun 2026

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.