REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC is a durable medical equipment medical supplies in Loganville, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. REVIVE ORTHOPEDICS SPINE & SPORTS MEDICINE, INC NPI is 1841900636. The provider is registered as an organization entity type.
The provider's business location address is:
3955 HARRISON RD STE 200B
LOGANVILLE, GA
ZIP 30052-502
Phone: (770) 209-9913
Fax: (678) 902-8579
The provider's authorized official is Shevin D Pollydore .
The authorized official title is Physician/owner and has the following contact phone number (770) 209-9913.
The enumeration date for this NPI number is 12/1/2022 and was last updated on 12/1/2022.