Organization
REVIVE HEALTH CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKIA LINDSAY THOMPSON NURSE PRACTITIONER (VICE PRESIDENT)
(901) 691-7007
Entity
Organization
Contact information
Practice address
5865 RIDGEWAY CENTER PKWY STE 300, MEMPHIS, TN 38120-4014
(901) 909-0546
(901) 909-0547
Mailing address
5865 RIDGEWAY CENTER PKWY STE 300, MEMPHIS, TN 38120-4014
(901) 909-0546
(901) 909-0547
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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