Organization · Type 2 NPI

Revive Orthopedics Spine & Sports Medicine, Inc

Durable Medical Equipment & Medical Supplies · Loganville, GA

NPI number 1841900636 Active

Practice location

3955 Harrison Rd Ste 200B
Loganville, GA 30052-8502

Fax (678) 902-8579

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed
Pharmacy	333600000X	None listed

Durable Medical Equipment & Medical Supplies: 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.

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NPI record

NPI: 1841900636
Entity type: Organization (Type 2)
Issued: Dec 1, 2022
Last updated: Dec 1, 2022
Status: Active
Subpart: Yes of Revive Orthopedics Spine & Sports Medicine, Inc

Other names

Revive Orthopedics Spine & Sports Medicine · doing business as

Authorized official

Shevin D Pollydore, MD
Physician/owner
(770) 209-9913

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About NPI 1841900636

Revive Orthopedics Spine & Sports Medicine, Inc's National Provider Identifier is 1841900636, issued on Dec 1, 2022. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Loganville, GA. The record was last updated on Dec 1, 2022.