Vital Energy | |
1812 Augusta Hwy Ste L Lexington SC 29072-1915 | |
(803) 233-3049 | |
(203) 233-9201 |
Full Name | Vital Energy |
---|---|
Speciality | Clinic/center |
Location | 1812 Augusta Hwy Ste L, Lexington, South Carolina |
Authorized Official Name and Position | Hima N Dalal (OWNER) |
Authorized Official Contact | 8032333049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vital Energy 121 Clearview Dr Columbia SC 29212-8304 Ph: () - | Vital Energy 1812 Augusta Hwy Ste L Lexington SC 29072-1915 Ph: (803) 233-3049 |
NPI Number | 1962697771 |
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Provider Enumeration Date | 09/14/2007 |
Last Update Date | 09/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962697771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 2626 (South Carolina) | Primary |
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