# REVIVEEASE CARE, LLC

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

## Provider details

- **NPI number:** 1720815111
- **Authorized official:** THOMAS GAMBLE DAVIS (OWNER/EXERCISE PHYSIOLOGIST)
- **Authorized official phone:** (256) 318-7811

## Contact information

- **Practice address:** 5626 POST OAK TRL, BESSEMER, AL 35022-4714
- **Practice address phone:** (256) 318-7811
- **Mailing address:** 5626 POST OAK TRL, BESSEMER, AL 35022-4714
- **Mailing address phone:** (256) 318-7811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/20/2024