Organization · Type 2 NPI
Optimal Billing Management
Surgical Physician Assistant · Dacula, GA
NPI number
1215486899
Active
Practice location
809 Grand Ivey Ct
Dacula, GA 30019-3322
Mailing address
2700 Braselton Hwy Ste 314
Dacula, GA 30019-3262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1215486899
Optimal Billing Management's National Provider Identifier is 1215486899, issued on Sep 24, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dacula, GA. The record was last updated on Sep 24, 2016.