Organization
OPTIM ORTHOPEDICS LLC
Active
Parent organization
OPTIM ORTHOPEDICS LLC
Other names
Optim Orthopedics Memorial Jesup
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIM ORTHOPEDICS LLC
Authorized official
MARK W MILLER (ADMINISTRATOR)
(912) 644-5300
Entity
Organization
Contact information
Practice address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Mailing address
166 MEMORIAL DR, JESUP, GA 31545-0101
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
GA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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