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Organization

REVIVE MEDICAL USA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GURLEEN KAUR MD (PRESIDENT)
(708) 860-8111
Entity
Organization

Contact information

Practice address
2926 MOUNTAIN INDUSTRIAL BLVD, TUCKER, GA 30084-3012
(678) 379-1731
(678) 248-2377
Mailing address
4474 VALTEK CT, SUWANEE, GA 30024-6209
(708) 300-5950

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/01/2022
Last updated
05/25/2023
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