# OPTIM ORTHOPEDICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OPTIM ORTHOPEDICS LLC
- **Other names:** Optim Orthopedics Baxley
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467992362
- **Legal business name:** OPTIM ORTHOPEDICS LLC
- **Authorized official:** MARK MILLER (ADMINISTRATOR)
- **Authorized official phone:** (912) 644-5300

## Contact information

- **Practice address:** 821 S MAIN ST, SUITE C, BAXLEY, GA 31513-0164
- **Practice address phone:** (912) 705-8040
- **Practice address fax:** (912) 644-5260
- **Mailing address:** 460 MALL BLVD, SUITE B, SAVANNAH, GA 31406-4801
- **Mailing address phone:** (912) 644-5300
- **Mailing address fax:** (912) 644-5260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 02/27/2017