Organization
REVIVE CONTINUUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROSS SHAUBERGER DO (MEDICAL DIRECTOR)
(936) 402-2935
Entity
Organization
Contact information
Practice address
157 LANCASTER ST, BRISTOL, VA 24201-4169
(276) 250-5500
Mailing address
15329 WOODSTONE CIR, BRISTOL, VA 24202-4023
(276) 245-6085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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