OrganizationOptimal Performance Medicine LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address120 Stonebridge Pkwy Ste 430, Woodstock, GA 30189-3769(678) 250-0700(770) 842-9405PECOS EnrollmentBased on the most recent information from CMS, provider Optimal Performance Medicine Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1346755386Provider TypeOrganizationFull NameOptimal Performance Medicine LlcSubpartNoEnumeration Date12/13/2017Last Updated12/13/2017Contact InformationPractice LocationPractice Address120 Stonebridge Pkwy Ste 430, Woodstock, GA 30189-3769Phone(678) 250-0700Fax(678) 250-0701Mailing LocationMailing Address210 Brook Valley Dr, Roswell, GA 30075-2356Phone(770) 842-9405Fax(678) 250-0701Authorized OfficialNameSkardasis, Michael George (Practice Owner)Phone(678) 250-0700Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer