Provider Demographics
NPI:1720863996
Name:JANOHA LLC
Entity Type:Organization
Organization Name:JANOHA LLC
Other - Org Name:THE OPTIMAL HEALTH CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-538-1747
Mailing Address - Street 1:11459 JOHNS CREEK PARKWAY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097
Mailing Address - Country:US
Mailing Address - Phone:770-538-1747
Mailing Address - Fax:770-538-1942
Practice Address - Street 1:11459 JOHNS CREEK PARKWAY
Practice Address - Street 2:SUITE 240
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097
Practice Address - Country:US
Practice Address - Phone:770-538-1747
Practice Address - Fax:770-538-1942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty