REVIVED VITALITY is a clinic center in Myrtle Beach, SC. 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). REVIVED VITALITY NPI is 1992588750. The provider is registered as an organization entity type.
The provider's business location address is:
1301 48TH AVE N # A-2
MYRTLE BEACH, SC
ZIP 29577-427
Phone: (843) 580-3694
The provider's authorized official is Jennings Michael Perry .
The authorized official title is Owner/provider and has the following contact phone number (843) 855-2299.
The enumeration date for this NPI number is 8/16/2023 and was last updated on 8/16/2023.