Revive Orthopedics Spine & Sports Medicine, Inc
LBN: Revive Orthopedics Spine & Sports Medicine, Inc
Revive Orthopedics Spine & Sports Medicine, Inc is an health care organization with primary practice located at 939 Bob Arnold Blvd Ste A , Lithia Springs GA 30122-3258. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Revive Orthopedics Spine & Sports Medicine, Inc can be contacted via phone (770) 209-9913, or through Pollydore, Shevin D via phone (770) 209-9913.
Contact Information
Primary practice address
939 Bob Arnold Blvd Ste A
Lithia Springs GA 30122-3258
Phone: (770) 209-9913
Fax: (678) 902-8579
Website:
Authorized official contact:
Name: Pollydore, Shevin D Doctor of Medicine (MD)
Phone: (770) 209-9913
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1306563663 |
|---|---|
| LBN Legal business name | Revive Orthopedics Spine & Sports Medicine, Inc |
| DBA Doing business as | |
| Authorized official | Pollydore, Shevin D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2022 |
| Last updated | Oct 26th, 2022 - 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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