Organization Name: | OPTIMUM HEALTH REHAB OF BUFORD LLC |
NPI Number: | 1275946600 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONICA SHELTON (PRACTICE MANAGER) |
Mailing Address: | 4125 Highway 20 # R14 Buford |
State: | GA US |
Postal Code: | 305183459 |
Phone Number: | 6787143053 |
Fax Number: | 6787143063 |
NPI Enumeration Date: | 06/03/2014 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |