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Organization
OPTIM ORTHOPEDICS LLC
Active
Organization
OPTIM ORTHOPEDICS LLC
Active
Parent organization
OPTIM ORTHOPEDICS LLC
Other names
Optim Orthopedics Baxley
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIM ORTHOPEDICS LLC
Authorized official
MARK MILLER (ADMINISTRATOR)
(912) 644-5300
Entity
Organization
Contact information
Practice address
821 S MAIN ST, SUITE C, BAXLEY, GA 31513-0164
(912) 705-8040
(912) 644-5260
Mailing address
460 MALL BLVD, SUITE B, SAVANNAH, GA 31406-4801
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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