NPI 1639064181
Grantland Sutton Reviere, DO
Practice location
- Address
- 4401 Riverchase Dr, Phenix City, AL 36867-7483
- Phone
- (334) 732-3000
- Mailing address
- 7036 Spring Walk Dr, Columbus, GA 31904-2717
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1639064181
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jun 2025
- Record last updated
- 12 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.