| Optimal Medical Pllc | |
|
8906 Kingston Pike Knoxville TN 37923-5003 | |
| (865) 474-7026 | |
| Not Available |
| Full Name | Optimal Medical Pllc |
|---|---|
| Speciality | General Practice |
| Location | 8906 Kingston Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | Mindy Toombs (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7024301126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Medical Pllc 8906 Kingston Pike Knoxville TN 37923-5003 Ph: () - | Optimal Medical Pllc 8906 Kingston Pike Knoxville TN 37923-5003 Ph: (865) 474-7026 |
| NPI Number | 1689354284 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 6103275987 |
|---|---|
| Medicare Enrollment ID | O20231206001761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689354284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Daniel L Wilder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811200140 PECOS PAC ID: 3678766359 Enrollment ID: I20101026001174 |
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