Organization
REVIVAL FUNCTIONAL NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN PRIES DC (DOCTOR/OWNER)
(980) 470-3606
Entity
Organization
Contact information
Practice address
5527 MONROE RD, CHARLOTTE, NC 28212-5503
(980) 324-3363
Mailing address
5527 MONROE RD, CHARLOTTE, NC 28212-5503
(980) 470-3606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
07/21/2025
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