# REVOLUTION HEALTH CENTER PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629399977
- **Authorized official:** ZACHARY MONROE BUSH MD (PRESIDENT)
- **Authorized official phone:** (434) 566-7628

## Contact information

- **Practice address:** 190 JAMES RIVER RD, SCOTTSVILLE, VA 24590-3812
- **Practice address phone:** (434) 321-5257
- **Practice address fax:** (434) 321-5259
- **Mailing address:** 3048 ALBERENE CHURCH LN, ESMONT, VA 22937-1516
- **Mailing address phone:** (434) 566-7628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 0101239018 | VA | Yes |

## Other

- **Enumeration date:** 06/21/2010
- **Last updated:** 06/21/2010