Organization
REVITAL HEALTH AND WELLNESS CLINICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BRANDON SWEAT NP (OWNER/NP)
(615) 768-5552
Entity
Organization
Contact information
Practice address
695 PRESIDENT PL STE 200, SMYRNA, TN 37167-5681
(615) 768-5552
(615) 768-5583
Mailing address
695 PRESIDENT PL STE 200, SMYRNA, TN 37167-5681
(615) 768-5552
(615) 768-5583
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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