Organization · Type 2 NPI
Optimum Medical Group
Primary Care Clinic/Center · Bon Aqua, TN
NPI number
1568925329
Active
Practice location
10044 Highway 46
Bon Aqua, TN 37025-1764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1568925329
Optimum Medical Group's National Provider Identifier is 1568925329, issued on Apr 9, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bon Aqua, TN. The record was last updated on Jun 8, 2025.