Optim Orthopedics, LLC

NPI #1447627641 in Blackshear, Georgia

Provider Information

NPI Number: 1447627641
Entity Type: Organization
Organization Name: Optim Orthopedics, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OPTIM ORTHOPEDICS, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 24, 2015
Last Updated: Aug 24, 2015

Practice Location

Address: 3345 US HIGHWAY 84
Address 2: SUITE 100
City: Blackshear
State: Georgia
ZIP Code: 31516-2159
Phone: (912) 629-6942

Authorized Official

Name: MR. MARK W MILLER
Title: PRACTICE ADMINISTRATOR
Phone: (912) 644-1626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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