Organization · Type 2 NPI

Revive Orthopedics Spine & Sports Medicine, Inc

Multi-Specialty Clinic/Center · Dunwoody, GA

NPI number 1134967995 Active

Practice location

1750 Old Spring House Ln Ste 205
Dunwoody, GA 30338-6214

Fax (770) 708-6599

Mailing address

939 Bob Arnold Blvd Ste A
Lithia Springs, GA 30122-3258

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1134967995

Revive Orthopedics Spine & Sports Medicine, Inc's National Provider Identifier is 1134967995, issued on Jul 16, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Dunwoody, GA. The record was last updated on Jul 16, 2024.