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Contact Information

OPTIMAL INTEGRATIVE CARE, LLC
3193 HOWELL MILL RD NW STE 125
ATLANTA, GA30327-2100
 Phone: 404-352-1223
 Fax: 404-352-1226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OPTIMAL INTEGRATIVE CARE, LLC

NPI Number 1164285151
LBN Legal business name OPTIMAL INTEGRATIVE CARE, LLC
Authorized official SHARON DICKERSON - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2024
Last updated 02/11/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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