Organization
SELECTWELL
Active
Other names
Revolution Health
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY AGAMEDI NP (NURSE PRACTITIONER)
(336) 510-1120
Entity
Organization
Contact information
Practice address
1175 REVOLUTION MILL DR STE 10, GREENSBORO, NC 27405-5080
(336) 510-1120
(336) 235-3044
Mailing address
PO BOX 13029, GREENSBORO, NC 27415-3029
(336) 510-1120
(336) 235-3044
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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