| Vital Inc. | |
|
2910 Tara Dr Apt 321 Valdosta GA 31602-1478 | |
| (229) 588-0075 | |
| Not Available |
| Full Name | Vital Inc. |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 2910 Tara Dr Apt 321, Valdosta, Georgia |
| Authorized Official Name and Position | Alphonso Whitfield (PRESIDENT) |
| Authorized Official Contact | 2295880075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Inc. 2910 Tara Dr Apt 321 Valdosta GA 31602-1478 Ph: (229) 588-0075 | Vital Inc. 2910 Tara Dr Apt 321 Valdosta GA 31602-1478 Ph: (229) 588-0075 |
| NPI Number | 1528820677 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528820677 | NPI | - | NPPES |
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