| Vitality Healthcare Inc | |
|
554 North Ave Nw Ste C Atlanta GA 30318-6909 | |
| (404) 477-2300 | |
| (404) 477-2301 |
| Full Name | Vitality Healthcare Inc |
|---|---|
| Speciality | Chiropractor - Sports Physician |
| Location | 554 North Ave Nw Ste C, Atlanta, Georgia |
| Authorized Official Name and Position | Clayton Gibson (CEO) |
| Authorized Official Contact | 4044772300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Healthcare Inc 33 Blue Ridge Trl Powder Springs GA 30127-6877 Ph: (678) 467-0587 | Vitality Healthcare Inc 554 North Ave Nw Ste C Atlanta GA 30318-6909 Ph: (404) 477-2300 |
| NPI Number | 1033881321 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/25/2021 |
| Certification Date | 10/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033881321 | NPI | - | NPPES |
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