Provider Demographics
NPI:1477176394
Name:OPTIMAL CHOICE TELEHEALTH
Entity Type:Organization
Organization Name:OPTIMAL CHOICE TELEHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:EMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-438-1628
Mailing Address - Street 1:1227 ROCKBIDGE RD SW
Mailing Address - Street 2:STE 208-354
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087
Mailing Address - Country:US
Mailing Address - Phone:678-852-0771
Mailing Address - Fax:
Practice Address - Street 1:1227 ROCKBIDGE RD SW
Practice Address - Street 2:STE 208-354
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087
Practice Address - Country:US
Practice Address - Phone:678-852-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty