Opt4wellness, LLC

NPI #1871087627 in Columbus, Georgia

Provider Information

NPI Number
1871087627
Entity Type
Organization
Organization Name
Opt4wellness, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jun 15, 2018
Last Updated
Jun 15, 2018

Practice Location

Address
2039 10TH AVE
State
Georgia
ZIP Code
31901-1459
Phone
(706) 566-5764

Authorized Official

Name
DR. STANLEY WAYNE HIMES, MD
Title
CEO/OWNER
Phone
(706) 580-4059

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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