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Contact Information

OPTIM ORTHOPEDICS, LLC
1707 MEADOWS LANE
VIDALIA, GA30474
 Phone: 912-386-1212
 Fax: 912-535-9779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OPTIM ORTHOPEDICS LLC · (Female)

NPI Number 1386038057
Status Active
Credentials
Entity Individual
Enumeration date 03/20/2015
Last updated 03/11/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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