Optimal Man | |
1270 25th Street Pl Se Ste 1 Hickory NC 28602-9657 | |
(828) 220-3190 | |
Not Available |
Full Name | Optimal Man |
---|---|
Speciality | Clinic/center |
Location | 1270 25th Street Pl Se Ste 1, Hickory, North Carolina |
Authorized Official Name and Position | Bryan Fulkersin (OWNER) |
Authorized Official Contact | 9102287538 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Optimal Man 1270 25th Street Pl Se Ste 1 Hickory NC 28602-9657 Ph: (828) 220-3190 | Optimal Man 1270 25th Street Pl Se Ste 1 Hickory NC 28602-9657 Ph: (828) 220-3190 |
NPI Number | 1841066362 |
---|---|
Provider Enumeration Date | 11/27/2023 |
Last Update Date | 11/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841066362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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