| NPI | 1629765433 |
|---|---|
| Doing Business As | REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHEVIN D. 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 | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |