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Revive Orthopedics Spine & Sports Medicine, Inc
Pharmacy in Loganville, Georgia
NPI 1841900636

Revive Orthopedics Spine & Sports Medicine, Inc is a Pharmacy based in Loganville, GA. Revive Orthopedics Spine & Sports Medicine, Inc practices in Loganville, GA. The NPI Number for Revive Orthopedics Spine & Sports Medicine, Inc is 1841900636 and holds a License No. (Georgia).

The current practice location address for Revive Orthopedics Spine & Sports Medicine, Inc is 3955 Harrison Rd Ste 200B, Loganville, GA and can be reached out via phone at 770-209-9913 and via fax at 678-902-8579.

Location: 3955 Harrison Rd Ste 200B, Loganville, GA, 30052-8502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841900636
Provider Name
Revive Orthopedics Spine & Sports Medicine, Inc
Credential
Provider Entity Type
Organization
Address
3955 Harrison Rd Ste 200B, Loganville, GA, 30052-8502
Phone Number
770-209-9913
Fax Number
678-902-8579
Provider Enumeration Date
12/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3955 Harrison Rd Ste 200B
City
Loganville
State
Georgia
Zip
30052-8502
Phone Number
770-209-9913
Fax Number
678-902-8579
person
Provider Business Mailing Address Details
Address
3955 Harrison Rd Ste 200B
City
Loganville
State
Georgia
Zip
30052-8502
Phone Number
770-209-9913
Fax Number
678-902-8579
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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