OrganizationActive
Revival Medical Weight Loss Clinic
NPI 1689263345 · Obesity Medicine (Preventive Medicine) Physician · Wilmington, NC
Provider details
- NPI number
- 1689263345
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Amy Wainwright, Ceo
Practice location
1508 Military Cutoff Rd Ste 203
Wilmington, NC 28403-5730
Phone: (910) 679-4312
Mailing address
1508 Military Cutoff Rd Ste 203
Wilmington, NC 28403-5730
Registry dates
- Enumerated
- 2021-01-15
- Last updated
- 2021-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.