Organization
OPTIMUM HEALTH REHAB OF LVILLE-GRAYSON LLC
Active
Other names
Optimum Health Grayson LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA SHELTON (PRACTICE MANAGER)
(678) 730-6240
Entity
Organization
Contact information
Practice address
2445 MOON RD, GRAYSON, GA 30017-1658
(678) 985-7286
(678) 985-7287
Mailing address
2133 HIGHWAY 317 STE 12-318, SUWANEE, GA 30024-2649
(678) 985-7286
(678) 985-7287
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
04/11/2016
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