REVIVE FAMILY MEDICAL CLINIC, LLC is a clinic center in Columbus, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REVIVE FAMILY MEDICAL CLINIC, LLC NPI is 1902577554. The provider is registered as an organization entity type.
The provider's business location address is:
3549 BLUECUTT RD
COLUMBUS, MS
ZIP 39705-324
Phone: (662) 386-1541
The provider's authorized official is Micah Alexander Grant .
The authorized official title is Nurse Practitioner and has the following contact phone number (662) 570-4174.
The enumeration date for this NPI number is 9/23/2021 and was last updated on 11/18/2021.