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NPI 1285017889

OrganizationActive

Optiwell MD Duluth LLC

NPI 1285017889 · Dietary Manager · Duluth, GA

Provider details

NPI number: 1285017889
Entity type: Organization
Primary specialty: Dietary ManagerDietary & Nutritional Service Providers
Authorized official: Mary Federico, Owner
License: 61722 (GA)

Practice location

4300 Pleasant Hill Rd

Suite a

Duluth, GA 30096-6379

Phone: (678) 682-8734

Fax: (678) 682-8736

More GA providers

Mailing address

8770 Colonial Pl

Duluth, GA 30097-6641

Registry dates

Enumerated: 2015-07-01
Last updated: 2015-07-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Optiwell MD Duluth LLC — NPI 1285017889, Duluth, GA | NPI Central