# REVIVE SPINE AND JOINT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275460628
- **Authorized official:** DR. SHIEL K PATEL MD (OWNER)
- **Authorized official phone:** (678) 257-2547

## Contact information

- **Practice address:** 50 REDFIELD ST STE 102, DORCHESTER, MA 02122-3638
- **Practice address phone:** (678) 257-2547
- **Mailing address:** 211 PEACHTREE CENTER PKWY, SUITE 225, DUNWOODY, GA 30346
- **Mailing address phone:** (678) 257-2547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2026
- **Last updated:** 05/07/2026
