| NPI | 1285321091 |
|---|---|
| Doing Business As | REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHEVIN POLLYDORE Owner 770-769-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 333600000X Pharmacy | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-11-22 |