The Optimal Health Care Clinic | |
11459 Johns Creek Parkway Suite 240 Johns Creek GA 30097 | |
(770) 538-1747 | |
(770) 538-1942 |
Full Name | The Optimal Health Care Clinic |
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Speciality | Internal Medicine |
Location | 11459 Johns Creek Parkway, Johns Creek, Georgia |
Authorized Official Name and Position | James Edward Harper (CEO) |
Authorized Official Contact | 7705381747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Optimal Health Care Clinic 11459 Johns Creek Parkway Suite 240 Johns Creek GA 30097 Ph: (770) 538-1747 | The Optimal Health Care Clinic 11459 Johns Creek Parkway Suite 240 Johns Creek GA 30097 Ph: (770) 538-1747 |
NPI Number | 1720863996 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 10/04/2023 |
Medicare PECOS PAC ID | 9830544832 |
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Medicare Enrollment ID | O20231011002127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720863996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | James Edward Harper |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407992316 PECOS PAC ID: 9638394083 Enrollment ID: I20200406001892 |
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