NPI | 1699590661 |
---|---|
Doing Business As | OPTIMA ADVANCED HEALING |
Entity Type | Organization |
Authorized Contact | PATRICK GLENN GREENE CEO 205-441-8255 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-11-15 |
Last Update Date | 2024-12-16 |