Optimum Health Of Suwanee PC
Physical Medicine & Rehabilitation in Suwanee, GA. Organization (NPI-2).
NPI number1083883656
StatusActive
Last updated in NPPESFeb 27, 2008
Details
- NPI
- 1083883656
- Entity type
- Organization (NPI-2)
- Legal business name
- Optimum Health Of Suwanee PC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2008
- Last updated
- Feb 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | – | – |
Practice location
2850 Lawrenceville Suwanee RdSuwanee, GA 30024-2954
Phone 678-546-0550 · Fax 678-546-6885
Mailing address
2855 Highway 317 Ste 760-318Suwanee, GA 30024-3563
Phone 678-546-0550 · Fax 678-730-4378
Authorized official
John P Lanier
Owner
6785460550
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