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Organization

OPTIMUM HEALTH REHAB OF SUWANEE LLC

Active
Other names
Optimum Health Suwanee LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MONICA SHELTON (PRACTICE MANAGER)
(678) 730-6240
Entity
Organization

Contact information

Practice address
3131 LAWRENCEVILLE SUWANEE RD # B, SUWANEE, GA 30024-6548
(678) 546-0550
(678) 546-6885
Mailing address
2133 HIGHWAY 317 STE 12-318, SUWANEE, GA 30024-2649
(678) 546-0550
(678) 546-6885

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
208D00000X
General Practice Physician
Primary
225100000X
Physical Therapist

Other

Enumeration date
06/03/2014
Last updated
03/22/2016
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