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Organization
OPTIMUM HEALTH REHAB OF CUMMING, LLC
Active
Organization
OPTIMUM HEALTH REHAB OF CUMMING, LLC
Active
Other names
Optimum Health - Cumming
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX JUTIS DC (CEO)
(678) 546-0550
Entity
Organization
Contact information
Practice address
2855 HIGHWAY 317 STE 760-318, SUWANEE, GA 30024-3563
(678) 546-0550
(678) 546-6885
Mailing address
5967 BETHELVIEW RD, CUMMING, GA 30040
(678) 546-0550
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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