# OPTIHEALTHMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215434931
- **Authorized official:** TODD HOOVER (MANAGER)
- **Authorized official phone:** (843) 814-4171

## Contact information

- **Practice address:** 721 LONG POINT RD STE 403, MOUNT PLEASANT, SC 29464-8298
- **Practice address phone:** (843) 442-8588
- **Mailing address:** 1870 PEACEFUL WAY, MOUNT PLEASANT, SC 29464-6217
- **Mailing address phone:** (843) 814-4171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 16596 | SC | Yes |

## Other

- **Enumeration date:** 04/09/2018
- **Last updated:** 04/09/2018
