| 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 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841066362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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