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Revive Ketamine Clinic, Pllc
Medical Specialty Clinic/Center in Arlington, Tennessee
NPI 1053984484

Revive Ketamine Clinic, Pllc is a Medical Specialty Clinic/Center based in Arlington, TN and is specialized in Medical Specialty. Revive Ketamine Clinic, Pllc practices in Arlington, TN. The NPI Number for Revive Ketamine Clinic, Pllc is 1053984484 and holds a License No. (Tennessee).

The current practice location address for Revive Ketamine Clinic, Pllc is 6220 Greenlee St Ste 2, Arlington, TN and can be reached out via phone at 901-317-7900 and via fax at 901-317-7899.

Location: 6220 Greenlee St Ste 2, Arlington, TN, 38002-8447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053984484
Provider Name
Revive Ketamine Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
6220 Greenlee St Ste 2, Arlington, TN, 38002-8447
Phone Number
901-317-7900
Fax Number
901-317-7899
Provider Enumeration Date
07/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6220 Greenlee St Ste 2
City
Arlington
State
Tennessee
Zip
38002-8447
Phone Number
901-317-7900
Fax Number
901-317-7899
person
Provider Business Mailing Address Details
Address
6220 Greenlee St Ste 2
City
Arlington
State
Tennessee
Zip
38002-8447
Phone Number
901-317-7900
Fax Number
901-317-7899
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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