Revive Spine and Pain Care Center, PC
NPI #1346963667 in Alpharetta, Georgia
Provider Information
- NPI Number
- 1346963667
- Entity Type
- Organization
- Organization Name
- Revive Spine and Pain Care Center, PC
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Sep 21, 2022
- Last Updated
- Oct 13, 2022
Practice Location
- Address
- 11770 HAYNES BRIDGE RD UNIT 205-310
- City
- Alpharetta
- State
- Georgia
- ZIP Code
- 30009-1966
- Phone
- (616) 634-5365
Authorized Official
- Name
- JADA J'NENE TRASHON REESE, MD
- Title
- OWNER
- Phone
- (616) 634-5365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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