| NPI | 1164857686 |
|---|---|
| Doing Business As | OPTIM PAIN MANAGEMENT - TIFTON |
| Entity Type | Organization |
| Authorized Contact | LAVONDA CRAVEY Controller 912-383-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2016-12-21 |