Graduated: 2024
NPI: 1144047838
Practice Locations (2)
REVIVE MEDICAL CENTER LLC
1728 11TH AVE
HALEYVILLE, AL 355651506
2054857822
DIVINE FAMILY WELLNESS, LLC
530 BEXAR AVE W
HAMILTON, AL 355705723
2059212838
Source: CMS National Downloadable File, September 2026.