Revive Orthopedics Spine & Sports Medicine, Inc
Orthopedic Surgery · Stockbridge, GA
At a glance
218 Willis Dr, Stockbridge, GA 30281-7272
NPPES record updated Aug 17, 2025. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
218 Willis DrStockbridge, GA 30281-7272
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Orthopedic Surgery
- Taxonomy code
- 207X00000X
- Enumeration date
- Apr 20, 2023
- Record updated
- Aug 17, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Orthopedic Surgery
207X00000X · Primary
Specialty details in registry
208100000X
Specialty details in registry
2081P2900X
Specialty details in registry
332B00000X
Specialty details in registry
333600000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
218 Willis DrStockbridge, GA 30281-7272
- Phone
- (770) 769-1724
- Fax
- (770) 708-6599
Mailing address
939 BOB ARNOLD BLVD STE ALITHIA SPRINGS, GA 301223258
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