Organization
OPTIMUM HORIZON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSAGYEFO A GREENE (OWNER)
(980) 721-7785
Entity
Organization
Contact information
Practice address
6412 MALLARD VIEW LN, CHARLOTTE, NC 28269-5121
(980) 721-7785
Mailing address
6412 MALLARD VIEW LN, CHARLOTTE, NC 28269-5121
(980) 721-7785
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
NC
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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