Revive Rx is a Prosthetic/Orthotic Supplier based in Fayetteville, GA. Revive Rx practices in Jonesboro, GA. The NPI Number for Revive Rx is 1104608009 and holds a License No. (Georgia).
The current practice location address for Revive Rx is 1252 Todiway Ct, Jonesboro, GA and can be reached out via phone at 770-946-6976.
Location: 1252 Todiway Ct, Jonesboro, GA, 30214-3994
Provider Profile Details
NPI Number
1104608009
Provider Name
Revive Rx
Credential
Provider Entity Type
Organization
Address
1252 Todiway Ct, Jonesboro, GA, 30214-3994
Phone Number
770-946-6976
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
1252 Todiway Ct
City
State
Zip
30238-6546
Phone Number
770-946-6976
Fax Number
Provider Business Mailing Address Details
Address
1252 Todiway Ct
City
State
Zip
30238-6546
Phone Number
770-946-6976
Fax Number
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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