Organization
OPTIMUM CLINICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND THERTULIEN M.D., PH.D. (MEMBER)
(704) 333-1555
Entity
Organization
Contact information
Practice address
2711 RANDOLPH RD, SUITE 140, CHARLOTTE, NC 28207-2034
(704) 333-1555
(704) 333-1553
Mailing address
PO BOX 220504, CHARLOTTE, NC 28222-0504
(704) 333-1555
(704) 333-1553
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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