Organization
REVITALIFE, INC
Active
Other names
Revitalife Weight Loss Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIA WARD (CEO)
(770) 744-1409
Entity
Organization
Contact information
Practice address
102 MARY ALICE PARK RD STE 402, CUMMING, GA 30040-2692
(770) 744-1409
Mailing address
102 MARY ALICE PARK RD STE 402, CUMMING, GA 30040-2692
(770) 744-1409
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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