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Individual

DR. SALLY M. REVELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
699 CHURCH ST NE, STE 340, MARIETTA, GA 30060
(770) 793-7613
(770) 793-7413
Mailing address
148 BILL CARRUTH PKWY, STE 220, HIRAM, GA 30141-3754
(770) 505-0023
(770) 505-9848

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
65884
GA

Other

Enumeration date
12/27/2007
Last updated
10/02/2019
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