| Optimum Medical Group | |
|
10044 Highway 46 Bon Aqua TN 37025-1764 | |
| (931) 996-4247 | |
| Not Available |
| Full Name | Optimum Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 10044 Highway 46, Bon Aqua, Tennessee |
| Authorized Official Name and Position | Christopher Burress (OWNER) |
| Authorized Official Contact | 9319964247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Medical Group 10044 Highway 46 Bon Aqua TN 37025-1764 Ph: () - | Optimum Medical Group 10044 Highway 46 Bon Aqua TN 37025-1764 Ph: (931) 996-4247 |
| NPI Number | 1568925329 |
|---|---|
| Provider Enumeration Date | 04/09/2019 |
| Last Update Date | 04/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568925329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
D/b/a Optimum Internal Medicine And Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10044 Highway 46, Bon Aqua, TN 37025 Phone: 931-996-4247 Fax: 931-996-4248 |