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Contact Information

REVIVE BEAUTY & DRIP LOUNGE, PLLC
906 S MAIN ST
BURLINGTON, NC27215-5757
 Phone: 336-935-1240
 Fax: 336-234-1020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infusion Therapy

261QI0500X
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for REVIVE BEAUTY & DRIP LOUNGE, PLLC

NPI # 1174226146
LBN Legal business name REVIVE BEAUTY & DRIP LOUNGE, PLLC
Authorized official CHRYSTAL GAMMON - (OWNER/OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2023
Last updated 04/18/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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