REVIVE ORTHOPEDICS SPINE & SPORTS SURGERY CENTER INC

LITHIA SPRINGS, GA
NPI1972283141
Entity TypeOrganization
Authorized ContactSHEVIN D. POLLYDORE
CEO
770-769-1724
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date2023-07-21
Last Update Date2023-07-21
Business Address
REVIVE ORTHOPEDICS SPINE & SPORTS SURGERY CENTER INC
939 BOB ARNOLD BLVD STE D
LITHIA SPRINGS, GA 30122-3258
Phone number: 770-769-1724
Mailing Address
REVIVE ORTHOPEDICS SPINE & SPORTS SURGERY CENTER INC
939 BOB ARNOLD BLVD STE A
LITHIA SPRINGS, GA 30122-3258
Phone number: 770-769-1724