| NPI | 1841900636 |
|---|---|
| Doing Business As | REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHEVIN D POLLYDORE Physician/Owner 770-209-9913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |