Vitality Healthcare Services Llc | |
400 Plaza Cir Ste G Clinton SC 29325-7558 | |
(864) 403-9150 | |
Not Available |
Full Name | Vitality Healthcare Services Llc |
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Speciality | Clinic/center - Primary Care |
Location | 400 Plaza Cir Ste G, Clinton, South Carolina |
Authorized Official Name and Position | Tyrone G Roberson (NURSE PRACTITIONER) |
Authorized Official Contact | 8643845277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vitality Healthcare Services Llc 400 Plaza Cir Ste G Clinton SC 29325-7558 Ph: (864) 403-9150 | Vitality Healthcare Services Llc 400 Plaza Cir Ste G Clinton SC 29325-7558 Ph: (864) 403-9150 |
NPI Number | 1063089266 |
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Provider Enumeration Date | 06/07/2021 |
Last Update Date | 10/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063089266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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