| Vitality Health Network Llc | |
|
3100 Dick Pond Rd Unit E Myrtle Beach SC 29588-7286 | |
| (843) 410-0330 | |
| Not Available |
| Full Name | Vitality Health Network Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3100 Dick Pond Rd Unit E, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Lucy Martinez (OFFICE MANAGER) |
| Authorized Official Contact | 8434100330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Health Network Llc 3100 Dick Pond Rd Unit E Myrtle Beach SC 29588-7286 Ph: (843) 410-0330 | Vitality Health Network Llc 3100 Dick Pond Rd Unit E Myrtle Beach SC 29588-7286 Ph: (843) 410-0330 |
| NPI Number | 1962908558 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 04/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962908558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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