Organization
OPTIMAL LONGEVITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHN SAMANTHA CHUI (OWNER)
(770) 451-7996
Entity
Organization
Contact information
Practice address
1300 PEACHTREE INDUSTRIAL BLVD STE 1201, SUWANEE, GA 30024-4550
(678) 614-9848
Mailing address
3300 HOLCOMB BRIDGE RD STE 226, NORCROSS, GA 30092-5405
(678) 614-9848
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/14/2023
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