Organization
REVIVAL WOUND SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAT LE NP (OWNER)
(470) 979-7018
Entity
Organization
Contact information
Practice address
302 BERMUDA RDG, PERRY, GA 31069-8756
(470) 979-7018
Mailing address
302 BERMUDA RDG, PERRY, GA 31069-8756
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us