Organization
ORTHOPEDIC CENTER PC
Active
Other names
Optim Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W KLEINPETER (CEO)
(912) 644-5300
Entity
Organization
Contact information
Practice address
528 WASHINGTON AVE, SANDERSVILLE, GA 31082-1971
(478) 552-9402
Mailing address
210 E DERENNE AVE, PROVIDER ENROLLMENT DEPT, SAVANNAH, GA 31405-6736
(912) 644-5300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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