NPI 1801813712

Revival Pain Management INC

Organisation Interventional Pain Medicine Physician Elkin, NC

Practice location

Address: 1925 N Bridge St STE 101, Elkin, NC 28621-2105
Phone: (336) 835-5330
Fax: (336) 835-5337

Authorised official

Name: Emidio Michael Novembre
Title: Practice Owner
Phone: (336) 835-5330

Registered specialties (3)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in North Carolina →

Addiction Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LA0401X

Other Anesthesiology providers in North Carolina →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Registry record

NPI: 1801813712
Entity type: Organization
NPI issued: 16 Jul 2006
Record last updated: 20 Nov 2025

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.