Healthcare Provider Details

I. General information

NPI: 1811200926
Provider Name (Legal Business Name): DCC OPTIMUM INVESTMENTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2010
Last Update Date: 07/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11720 MEDLOCK BRIDGE RD
JOHNS CREEK GA
30097-1509
US

IV. Provider business mailing address

11720 MEDLOCK BRIDGE RD
JOHNS CREEK GA
30097-1509
US

V. Phone/Fax

Practice location:
  • Phone: 770-622-4000
  • Fax: 801-853-4404
Mailing address:
  • Phone: 770-622-4000
  • Fax: 801-853-4404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateGA

VIII. Authorized Official

Name: CAROLYN CARRINGTON
Title or Position: STUDIO OWNER
Credential:
Phone: 770-622-4000