| NPI | 1134532559 |
|---|---|
| Doing Business As | OPTIMUM HEALTH SUWANEE LLC |
| Entity Type | Organization |
| Authorized Contact | MONICA SHELTON Practice Manager 678-730-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2016-03-22 |