Revive Orthopedics Spine & Sports Medicine

LBN: Revive Orthopedics Spine & Sports Medicine, Inc
Revive Orthopedics Spine & Sports Medicine is an health care organization with primary practice located at 3200 Shakerag Hl Ste A , Peachtree City GA 30269-6524. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Suppliers / Pharmacy. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Revive Orthopedics Spine & Sports Medicine, Inc can be contacted via phone (770) 769-1724, or through Pollydore, Shevin via phone (770) 769-1724.

Contact Information

Primary practice address
3200 Shakerag Hl Ste A Peachtree City GA 30269-6524
Phone: (770) 769-1724
Fax: (770) 708-6599
Website:
Map and Directions
Authorized official contact:
Name: Pollydore, Shevin Doctor of Medicine (MD)
Phone: (770) 769-1724

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1285321091
LBN Legal business name Revive Orthopedics Spine & Sports Medicine, Inc
DBA Doing business as Revive Orthopedics Spine & Sports Medicine
Authorized official Pollydore, Shevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2023
Last updated Nov 22nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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