# OPTIMUM HEALTH REHAB OF HIRAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Optimum Health Hiram LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982010732
- **Authorized official:** MONICA SHELTON (OPERATIONS MGR)
- **Authorized official phone:** (678) 730-6240

## Contact information

- **Practice address:** 47 HIGHLAND PAVILION CT STE 102, HIRAM, GA 30141-4119
- **Practice address phone:** (770) 439-6997
- **Practice address fax:** (770) 439-0997
- **Mailing address:** 2133 HIGHWAY 317 STE 12-318, SUWANEE, GA 30024-2649
- **Mailing address phone:** (678) 730-6240
- **Mailing address fax:** (678) 730-0280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 07/01/2014
- **Last updated:** 04/11/2016