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Organization
OPTIMUM HEALTH OF BUFORD PC
Active
Organization
OPTIMUM HEALTH OF BUFORD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P LANIER MD (OWNER)
(678) 546-0550
Entity
Organization
Contact information
Practice address
4125 HIGHWAY 20, BUFORD, GA 30518-3459
(678) 714-3053
(678) 714-3063
Mailing address
2855 HIGHWAY 317 STE 760-318, SUWANEE, GA 30024-3563
(678) 546-0550
(678) 730-4379
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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