Revive Spine And Pain Care Center, Pc

LBN: Revive Spine And Pain Care Center, Pc
Revive Spine And Pain Care Center, Pc is an health care organization with primary practice located at 11770 Haynes Bridge Rd Unit 205-310 , Alpharetta GA 30009-1966. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Revive Spine And Pain Care Center, Pc can be contacted via phone (616) 634-5365, or through Reese, Jada J'Nene Trashon via phone (616) 634-5365.

Contact Information

Primary practice address
11770 Haynes Bridge Rd Unit 205-310 Alpharetta GA 30009-1966
Phone: (616) 634-5365
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reese, Jada J'Nene Trashon Doctor of Medicine (MD)
Phone: (616) 634-5365

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1346963667
LBN Legal business name Revive Spine And Pain Care Center, Pc
DBA Doing business as
Authorized official Reese, Jada J'Nene Trashon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2022
Last updated Oct 13th, 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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