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 9905 N Davidson Pkwy Ste 107 , Stockbridge GA 30281-4200. The organization recently has 5 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 / Durable Medical Equipment & Medical Supplies, 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 D. via phone (770) 769-1724.

Contact Information

Primary practice address
9905 N Davidson Pkwy Ste 107 Stockbridge GA 30281-4200
Phone: (770) 769-1724
Fax: (770) 708-6599
Website:
Map and Directions
Authorized official contact:
Name: Pollydore, Shevin D. 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 / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1629765433
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 Apr 20th, 2023
Last updated Apr 20th, 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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