Revive Spine and Pain Care Center, PC
Revive Spine and Pain Care Center, PC is an Interventional Pain Medicine Physician in Alpharetta, Georgia. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11770 Haynes Bridge Rd Unit 205-310Alpharetta, GA 30009-1966
Phone: (616) 634-5365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X |
|---|---|
| Pain Clinic/Center | Taxonomy 261QP3300X |
Record details
| NPI number | 1346963667 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jada Reese — Owner · (616) 634-5365 |
| NPI enumerated | September 21, 2022 |
| Last updated in NPPES | October 13, 2022 |
| Certification date | October 13, 2022 |
| Mailing address | 270 Beacon Knoll Dr, Alpharetta, GA 30022-6441 |
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