OPTIMUM HEALTH REHAB OF CUMMING LLC NPI 1073843504

NPI Information

NPI: 1073843504
Provider Name: OPTIMUM HEALTH REHAB OF CUMMING, LLC

Other Name: OPTIMUM HEALTH - CUMMING

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2855 HIGHWAY 317 STE 760-318
SUWANEE, GA
ZIP 30024
Phone: (678) 546-0550
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OPTIMUM HEALTH REHAB OF CUMMING, LLC is a general practice in Suwanee, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OPTIMUM HEALTH REHAB OF CUMMING, LLC NPI is 1073843504. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Optimum Health - Cumming.

The provider's business location address is:

2855 HIGHWAY 317 STE 760-318
SUWANEE, GA
ZIP 30024-563
Phone: (678) 546-0550
Fax: (678) 546-6885

The provider's authorized official is Alex Jutis .
The authorized official title is Ceo and has the following contact phone number (678) 546-0550.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 1/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	111NR0400X	Chiropractor	Rehabilitation	No
2	208100000X	Physical Medicine & Rehabilitation		No
3	208D00000X	General Practice		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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