Organization
OPTIM ORTHOPEDICS, LLC
Active
Parent organization
OPTIM ORTHOPEDICS, LLC
Other names
Optim Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIM ORTHOPEDICS, LLC
Authorized official
MARK MILLER (PRACTICE ADMINISTRATOR)
(912) 644-1626
Entity
Organization
Contact information
Practice address
821 S MAIN ST, SUITE C, BAXLEY, GA 31513-0164
(912) 637-5486
(912) 367-8428
Mailing address
210 E DERENNE AVE, ATTN.: ALIA MIKE, SAVANNAH, GA 31405-6736
(912) 644-1626
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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