# OPTIMUM HEALTH- HIRAM

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

## Provider details

- **NPI number:** 1932358710
- **Authorized official:** ALEX JUTIS (MGR.)
- **Authorized official phone:** (770) 439-6997

## Contact information

- **Practice address:** 76 HIGHLAND PAVILION CT, HIRAM, GA 30141-3169
- **Practice address phone:** (770) 439-6997
- **Mailing address:** 2855 HIGHWAY 317 STE 760-318, SUWANEE, GA 30024-3563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIRO06867 | GA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 09/16/2008