Revive Orthopedics Spine & Sports Surgery Center INC
NPI #1972283141 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1972283141
- Entity Type
- Organization
- Organization Name
- Revive Orthopedics Spine & Sports Surgery Center INC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 21, 2023
- Last Updated
- Jul 21, 2023
Practice Location
- Address
- 939 BOB ARNOLD BLVD STE D
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-3258
- Phone
- (770) 769-1724
Authorized Official
- Name
- SHEVIN D. POLLYDORE, MD
- Title
- CEO
- Phone
- (770) 769-1724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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