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OPTIMUM HEALTH REHAB OF BUFORD LLC NPI 1275946600


NPI Information

NPI: 1275946600
Provider Name: OPTIMUM HEALTH REHAB OF BUFORD LLC

Doing Business As: OPTIMUM HEALTH OF BUFORD LLC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4125 HIGHWAY 20 # R14
BUFORD, GA
ZIP 30518
Phone: (678) 714-3053
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OPTIMUM HEALTH REHAB OF BUFORD LLC is a general practice in Buford, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OPTIMUM HEALTH REHAB OF BUFORD LLC NPI is 1275946600. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optimum Health Of Buford Llc.

The provider's business location address is:

4125 HIGHWAY 20 # R14
BUFORD, GA
ZIP 30518-459
Phone: (678) 714-3053
Fax: (678) 714-3063

The provider's authorized official is Monica Shelton .
The authorized official title is Practice Manager and has the following contact phone number (678) 730-6240.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 3/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorNo
2225100000XPhysical TherapistNo
3208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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