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Search › Tennessee › 224Z00000X

Chasity Revilla

NPI 1750081303 · on the registry since 2023

Practice

Address
2300 Pavilion Dr
Kingsport, TN 37660
Phone
(423) 765-9655
Fax
(423) 392-4795
Organisation at this address
Nhc Healthcare-Kingsport Llc
Nhc Healthcare-Kingsport Llc
Mountain States Health Alliance
Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
VA, TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee