Organization
REVIVE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D SCHULMAN (OWNER)
(770) 545-8888
Entity
Organization
Contact information
Practice address
753 OLD NORCROSS RD STE A, LAWRENCEVILLE, GA 30046-4312
(770) 545-8888
(770) 545-8889
Mailing address
753 OLD NORCROSS RD STE A, LAWRENCEVILLE, GA 30046-4312
(770) 545-8888
(770) 545-8889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
GA
207R00000X
Internal Medicine Physician
Primary
—
GA
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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