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Organization
OPTIMAL JOINT & NEUROREHAB LLC
Active
Organization
OPTIMAL JOINT & NEUROREHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONGJIE YUAN MD (ORGANIZER)
(864) 417-5326
Entity
Organization
Contact information
Practice address
4245 DEERCREST DR, VALDOSTA, GA 31602-7612
(864) 417-5326
Mailing address
PO BOX 3921, VALDOSTA, GA 31604-3921
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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