NPI 1174369540
Ronald T Revere, TRAINING
Practice location
- Address
- 2341 Highway 1 S, Greenville, MS 38701-8337
- Phone
- (833) 613-7333
- Mailing address
- 1100 Cloverdale Dr, Greenville, MS 38701-8301
Registered specialties
Laboratory Management Specialist/Technologist
Primary
Registry record
- NPI
- 1174369540
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jul 2024
- Record last updated
- 5 Jul 2024
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.