| Vitale Medical Inc | |
|
3290 Memorial Dr Ste B1 Decatur GA 30032-3400 | |
| (404) 534-9692 | |
| Not Available |
| Full Name | Vitale Medical Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3290 Memorial Dr Ste B1, Decatur, Georgia |
| Authorized Official Name and Position | Miguelita Bhuiyan (ADMINISTRATOR) |
| Authorized Official Contact | 7709906811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitale Medical Inc Po Box 350 Duluth GA 30096-0006 Ph: () - | Vitale Medical Inc 3290 Memorial Dr Ste B1 Decatur GA 30032-3400 Ph: (404) 534-9692 |
| NPI Number | 1609259969 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609259969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 067173 (Georgia) | Primary |
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