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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

NPI # 1386038057
LBN Legal business name OPTIM ORTHOPEDICS, LLC
Authorized official JOHN BUTLER - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/20/2015
Last updated 03/11/2022 - About 4 years 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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