Revive Orthopedics Spine & Sports Medicine, INC
NPI #1306563663 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1306563663
- Entity Type
- Organization
- Organization Name
- Revive Orthopedics Spine & Sports Medicine, INC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Oct 26, 2022
- Last Updated
- Oct 26, 2022
Practice Location
- Address
- 939 BOB ARNOLD BLVD STE A
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-3258
- Phone
- (770) 209-9913
Authorized Official
- Name
- SHEVIN D POLLYDORE, MD
- Title
- PHYSICIAN/OWNER
- Phone
- (770) 209-9913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
| Physical Medicine & Rehabilitation |
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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