Provider Demographics
NPI:1255776134
Name:OPTIMAL HEALTH CARE, LLC
Entity type:Organization
Organization Name:OPTIMAL HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CHASTANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-485-3837
Mailing Address - Street 1:1121 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-5425
Mailing Address - Country:US
Mailing Address - Phone:770-485-3837
Mailing Address - Fax:470-377-4468
Practice Address - Street 1:1121 JOHNSON FERRY RD
Practice Address - Street 2:SUITE 205
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-5425
Practice Address - Country:US
Practice Address - Phone:770-485-3837
Practice Address - Fax:470-377-4468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041094207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty