REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC

STOCKBRIDGE, GA
NPI1629765433
Doing Business AsREVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE
Entity TypeOrganization
Authorized ContactSHEVIN D. POLLYDORE
Owner
770-769-1724
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
Enumeration Date2023-04-20
Last Update Date2023-04-20
Business Address
REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
9905 N DAVIDSON PKWY STE 107
STOCKBRIDGE, GA 30281-4200
Phone number: 770-769-1724
Mailing Address
REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC
939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122-3258
Phone number: 770-769-1724