# OPTIMUM HEALTH REHAB OF CUMMING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimum Health - Cumming
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073843504
- **Authorized official:** ALEX JUTIS DC (CEO)
- **Authorized official phone:** (678) 546-0550

## Contact information

- **Practice address:** 2855 HIGHWAY 317 STE 760-318, SUWANEE, GA 30024-3563
- **Practice address phone:** (678) 546-0550
- **Practice address fax:** (678) 546-6885
- **Mailing address:** 5967 BETHELVIEW RD, CUMMING, GA 30040
- **Mailing address phone:** (678) 546-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 01/06/2010