| NPI | 1265706394 |
|---|---|
| Doing Business As | OPTIM PRIMARY CARE-HAZALHURST |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W KLEINPETER CEO 912-644-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |