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Organization

OPTIMUM MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER SHEA BURRESS DO (OWNER)
(615) 996-4247
Entity
Organization

Contact information

Practice address
10044 HIGHWAY 46, BON AQUA, TN 37025-1764
(931) 996-4247
Mailing address
10044 HIGHWAY 46, BON AQUA, TN 37025-1764

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/09/2019
Last updated
06/08/2025
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