Optimum Horizon LLC
NPI #1053684860 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1053684860
- Entity Type
- Organization
- Organization Name
- Optimum Horizon LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Feb 10, 2012
- Last Updated
- Feb 10, 2012
Practice Location
- Address
- 6412 MALLARD VIEW LN
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28269-5121
- Phone
- (980) 721-7785
Authorized Official
- Name
- MR. OSAGYEFO A GREENE
- Title
- OWNER
- Phone
- (980) 721-7785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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