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OPTIMAL INTEGRATIVE CARE LLC NPI 1962187690


NPI Information

NPI: 1962187690
Provider Name: OPTIMAL INTEGRATIVE CARE, LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 11D2293470

Address:
3193 HOWELL MILL RD NW STE 204
ATLANTA, GA
ZIP 30327
Phone: (404) 352-1223
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OPTIMAL INTEGRATIVE CARE, LLC is an infectious disease internal medicine in Atlanta, GA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. OPTIMAL INTEGRATIVE CARE, LLC NPI is 1962187690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3193 HOWELL MILL RD NW STE 204
ATLANTA, GA
ZIP 30327-100
Phone: (404) 352-1223
Fax: (404) 352-1226

The provider's authorized official is Sharon Page Dickerson .
The authorized official title is Vice President and has the following contact phone number (404) 352-1223.

The CLIA number assigned to this NPI record is 11D2293470 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2023 and was last updated on 2/28/2024.


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
1207RI0200XInternal MedicineInfectious DiseaseYes

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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