Revive Orthopedics Spine & Sports Medicine, INC

NPI #1023705837 in Roswell, Georgia

Provider Information

NPI Number
1023705837
Entity Type
Organization
Organization Name
Revive Orthopedics Spine & Sports Medicine, INC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Apr 20, 2023
Last Updated
Apr 20, 2023

Practice Location

Address
45 W CROSSVILLE RD STE 503
State
Georgia
ZIP Code
30075-2964
Phone
(770) 769-1724

Authorized Official

Name
SHEVIN D. POLLYDORE, MD
Title
OWNER
Phone
(770) 769-1724

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine
Durable Medical Equipment & Medical Supplies
Pharmacy
Orthopaedic Surgery

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