Provider Demographics
NPI:1811200926
Name:DCC OPTIMUM INVESTMENTS, INC
Entity Type:Organization
Organization Name:DCC OPTIMUM INVESTMENTS, INC
Other - Org Name:ELEMENTS THERAPEUTIC MASSAGE JOHN'S CREEK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STUDIO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-622-4000
Mailing Address - Street 1:11720 MEDLOCK BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1509
Mailing Address - Country:US
Mailing Address - Phone:770-622-4000
Mailing Address - Fax:801-853-4404
Practice Address - Street 1:11720 MEDLOCK BRIDGE RD
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1509
Practice Address - Country:US
Practice Address - Phone:770-622-4000
Practice Address - Fax:801-853-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-17
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty