NPI 1881863454
Optimum Health of Woodtock PC
Practice location
- Address
- 8811 Highway 92, Woodstock, GA 30189-6508
- Phone
- (770) 516-7477
- Fax
- (770) 516-7493
- Mailing address
- 2855 Highway 317 STE 760l-318, Suwanee, GA 30024-3563
Authorised official
- Name
- John P Lanier
- Title
- Owner
- Phone
- (678) 546-0550
Registered specialties (3)
Physical Medicine & Rehabilitation Physician
Primary
Rehabilitation Chiropractor
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1881863454
- Entity type
- Organization
- NPI issued
- 27 Feb 2008
- Record last updated
- 27 Feb 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.