Revive Orthopedics Spine & Sports Medicine, Inc
Revive Orthopedics Spine & Sports Medicine, Inc is a Durable Medical Equipment & Medical Supplies in Loganville, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3955 Harrison Rd Ste 200BLoganville, GA 30052-8502
Phone: (770) 209-9913
Fax: (678) 902-8579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1841900636 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Revive Orthopedics Spine & Sports Medicine, Inc |
| Authorized official | Shevin Pollydore — Physician/Owner · (770) 209-9913 |
| Other names | Revive Orthopedics Spine & Sports Medicine |
| NPI enumerated | December 1, 2022 |
| Last updated in NPPES | December 1, 2022 |
| Certification date | December 1, 2022 |
| Mailing address | 3955 Harrison Rd Ste 200b, Loganville, GA 30052-8502 |
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