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Brunda Revanna, MD — NPI 1407943228, Jacksonville, AL | NPI Central

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NPI 1407943228

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Brunda Revanna, MD

NPI 1407943228 · Primary Care Clinic/Center · Jacksonville, AL

Provider details

NPI number: 1407943228
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Brunda Revanna, President(678) 432-4755

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities

Practice location

1465 a 1st Ave Sw Ste C

Jacksonville, AL 36265

Phone: (678) 432-4755

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

950 Eagles Landing Pkwy #321

Stockbridge, GA 30281

Other names (DBA / former)

Doing business as: Jacksonville Family Health Center

Registry dates

Enumerated: 2006-10-05
Last updated: 2008-06-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.