| NPI | 1750890562 |
|---|---|
| Doing Business As | OPTIM NEUROSURGERY MACON |
| Entity Type | Organization |
| Authorized Contact | DAVID PERRY CEO 912-644-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 208600000X Surgery | |
| 208VP0000X | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2021-07-23 |