Organization
OPTIMUM HEALTHCARE ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK IKEN PHD (OWNER)
(770) 973-9500
Entity
Organization
Contact information
Practice address
2551 ROSWELL RD STE 100, MARIETTA, GA 30062-4761
(770) 973-9500
(770) 973-6575
Mailing address
2551 ROSWELL RD STE 100, MARIETTA, GA 30062-4761
(770) 973-9500
(770) 973-6575
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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