Organization
OPTIM ORTHOPEDICS, LLC
Active
Parent organization
OPTIM ORTHOPEDICS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIM ORTHOPEDICS, LLC
Authorized official
MIKE BUTLER (CEO)
(912) 644-5300
Entity
Organization
Contact information
Practice address
8201 PINELLAS DRIVE, BLUFFTON, SC 29910
(843) 705-9401
(843) 705-9402
Mailing address
210 E DERENNE AVE, ATTN.: PROVIDER ENROLLMENT, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
01/18/2019
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