Organization
OPTIMUM HEALTH MANAGEMENT CORPORATION
Active
Other names
Optimum Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MICHAEL HESLIN (PRESIDENT)
(770) 236-9595
Entity
Organization
Contact information
Practice address
575 W PIKE ST STE 2, LAWRENCEVILLE, GA 30046-7685
(770) 236-9595
(770) 236-9592
Mailing address
575 W PIKE ST STE 2, LAWRENCEVILLE, GA 30046-7685
(770) 236-9595
(770) 236-9592
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000934843A
—
GA
Enumeration date
10/05/2006
Last updated
09/27/2011
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