Organization
OPTIMUM HEALTH OF SUWANEE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P LANIER MD (OWNER)
(678) 546-0550
Entity
Organization
Contact information
Practice address
2850 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2954
(678) 546-0550
(678) 546-6885
Mailing address
2855 HIGHWAY 317 STE 760-318, SUWANEE, GA 30024-3563
(678) 546-0550
(678) 730-4378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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