Organization
OPTIMUM MEDICAL HEALTHCARE
Active
Organization
OPTIMUM MEDICAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TATLOR (MANAGER)
(706) 486-2481
Entity
Organization
Contact information
Practice address
1715 CEDAR SHOALS DRIVE, ATHENS, GA 30605
(404) 548-9099
Mailing address
1715 CEDAR SHOALS DR, ATHENS, GA 30605-3456
(404) 548-9099
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
GA 345679
GA
Other
Enumeration date
03/15/2013
Last updated
04/05/2013
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