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REVIVAL MEDICAL WEIGHT LOSS CLINIC NPI 1023785714


NPI Information

NPI: 1023785714
Provider Name: REVIVAL MEDICAL WEIGHT LOSS CLINIC
Classification: Preventive Medicine - 2083B0002X
Entity Type: Organization

Specialization: Obesity Medicine

Address:
2245 STANTONSBURG RD STE A
GREENVILLE, NC
ZIP 27834
Phone: (252) 653-5022
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REVIVAL MEDICAL WEIGHT LOSS CLINIC is an obesity medicine preventive medicine in Greenville, NC. The provider is a physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. REVIVAL MEDICAL WEIGHT LOSS CLINIC NPI is 1023785714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2245 STANTONSBURG RD STE A
GREENVILLE, NC
ZIP 27834-868
Phone: (252) 653-5022

The provider's authorized official is Amy Nealey Waiwright .
The authorized official title is Ceo and has the following contact phone number (910) 679-4312.

The enumeration date for this NPI number is 8/30/2021 and was last updated on 8/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083B0002XPreventive MedicineObesity MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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