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Organization
OPTIM ORTHOPEDICS, LLC
Active
Organization
OPTIM ORTHOPEDICS, LLC
Active
Parent organization
OPTIM ORTHOPEDICS, LLC
Other names
Optim Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIM ORTHOPEDICS, LLC
Authorized official
MICHAEL W KLEINPETER (CEO)
(912) 644-5300
Entity
Organization
Contact information
Practice address
503 EISENHOWER DR, SAVANNAH, GA 31406-2668
(912) 355-6255
(912) 355-6256
Mailing address
210 E DERENNE AVE, ATTN.: PROVIDER ENROLLMENT, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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