Optiwell MD Duluth LLC

NPI #1285017889 in Duluth, Georgia

Provider Information

NPI Number: 1285017889
Entity Type: Organization
Organization Name: Optiwell MD Duluth LLC
Primary Specialty: Dietary Manager
Enumeration Date: Jul 1, 2015
Last Updated: Jul 1, 2015

Practice Location

Address: 4300 PLEASANT HILL RD
Address 2: SUITE A
City: Duluth
State: Georgia
ZIP Code: 30096-6379
Phone: (678) 682-8734

Authorized Official

Name: MRS. MARY BELL FEDERICO
Title: OWNER
Phone: (404) 202-9433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietary Manager	132700000X	Primary

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