Revive Medical Center, Llc

LBN: Revive Medical Center, Llc
Revive Medical Center, Llc is an health care organization with primary practice located at 753 Old Norcross Rd Ste A , Lawrenceville GA 30046-4312. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Revive Medical Center, Llc can be contacted via phone (770) 545-8888, or through Schulman, Michael D via phone (770) 545-8888.

Contact Information

Primary practice address
753 Old Norcross Rd Ste A Lawrenceville GA 30046-4312
Fax: (770) 545-8889
Website:
Authorized official contact:
Name: Schulman, Michael D

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Georgia

Profile Details

NPI number 1750801205
LBN Legal business name Revive Medical Center, Llc
DBA Doing business as
Authorized official Schulman, Michael D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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