Revive Orthopedics Spine & Sports Medicine, INC
NPI #1629765433 in Stockbridge, Georgia
Provider Information
- NPI Number
- 1629765433
- Entity Type
- Organization
- Organization Name
- Revive Orthopedics Spine & Sports Medicine, INC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Apr 20, 2023
- Last Updated
- Aug 17, 2025
Practice Location
- Address
- 218 WILLIS DR
- City
- Stockbridge
- State
- Georgia
- ZIP Code
- 30281-7272
- 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 Medicine — Pain Medicine |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Orthopaedic Surgery |
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