Organization
OPTIMAL PERFORMANCE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GEORGE SKARDASIS MD (PRACTICE OWNER)
(678) 250-0700
Entity
Organization
Contact information
Practice address
120 STONEBRIDGE PKWY STE 430, WOODSTOCK, GA 30189-3769
(678) 250-0700
(678) 250-0701
Mailing address
210 BROOK VALLEY DR, ROSWELL, GA 30075-2356
(770) 842-9405
(678) 250-0701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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