| NPI | 1558800979 |
|---|---|
| Doing Business As | OPTIM ORTHOPEDICS MEMORIAL JESUP |
| Entity Type | Organization |
| Authorized Contact | MARK W MILLER Administrator 912-644-5300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |