| NPI | 1588103592 |
|---|---|
| Doing Business As | OPTIM MEDICAL CENTER TATTNALL BAXLEY |
| Entity Type | Organization |
| Authorized Contact | DAVID ALEX VILLA CEO 912-644-5300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 208VP0000X | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2025-09-24 |