Organization
OPTIMUM HEALTH PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISICIA JILES (MD)
(256) 251-5002
Entity
Organization
Contact information
Practice address
1878 JEFF RD NW STE A, HUNTSVILLE, AL 35806-4261
(256) 562-8773
Mailing address
1878 JEFF RD NW STE A, HUNTSVILLE, AL 35806-4261
(256) 251-5002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
07/14/2023
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