Organization
REVITAL HEALTH AND WELLNESS CLINICS PLLC
Active
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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