Revive Orthopedics Spine & Sports Medicine, Inc
Revive Orthopedics Spine & Sports Medicine, Inc is an Orthopaedic Surgery Physician in Lithia Springs, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 5
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
939 Bob Arnold Blvd Ste ALithia Springs, GA 30122-3258
Phone: (770) 209-9913
Fax: (678) 902-8579
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X |
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X |
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X |
Record details
| NPI number | 1306563663 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shevin Pollydore — Physician/Owner · (770) 209-9913 |
| Other names | Revive Orthopedics Spine & Sports Medicine |
| NPI enumerated | October 26, 2022 |
| Last updated in NPPES | October 26, 2022 |
| Certification date | October 26, 2022 |
| Mailing address | 939 Bob Arnold Blvd Ste A, Lithia Springs, GA 30122-3258 |
Other providers in Lithia Springs
-
Matthew Igbinigie, MD
939 Bob Arnold Blvd Ste A, Lithia Springs, GA 30122-3258 · (770) 769-1724