Organization
OPTIM ORTHOPEDICS, LLC
Active
Parent organization
OPTIM ORTHOPEDICS, LLC
Other names
Optim Orthopedics
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
810 TOWNE PARK DR STE 200, RINCON, GA 31326-5167
(912) 826-2533
(912) 826-2572
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
03/26/2015
Last updated
01/18/2019
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