Revive Orthopedics Spine & Sports Surgery Center Inc

LBN: Revive Orthopedics Spine & Sports Surgery Center Inc
Revive Orthopedics Spine & Sports Surgery Center Inc is an health care organization with primary practice located at 939 Bob Arnold Blvd Ste D , Lithia Springs GA 30122-3258. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Revive Orthopedics Spine & Sports Surgery Center Inc can be contacted via phone (770) 769-1724, or through Pollydore, Shevin D. via phone (770) 769-1724.

Contact Information

Primary practice address
939 Bob Arnold Blvd Ste D Lithia Springs GA 30122-3258
Phone: (770) 769-1724
Fax: (770) 708-6599
Website:
Map and Directions
Authorized official contact:
Name: Pollydore, Shevin D. Doctor of Medicine (MD)
Phone: (770) 769-1724

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1972283141
LBN Legal business name Revive Orthopedics Spine & Sports Surgery Center Inc
DBA Doing business as
Authorized official Pollydore, Shevin D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2023
Last updated Jul 21st, 2023 - about 3 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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