| Vitality Healthcare Services Llc | |
|
400 Plaza Cir Ste G Clinton SC 29325-7558 | |
| (864) 403-9150 | |
| Not Available |
| Full Name | Vitality Healthcare Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 400 Plaza Cir Ste G, Clinton, South Carolina |
| Authorized Official Name and Position | Tyrone G Roberson (NURSE PRACTITIONER) |
| Authorized Official Contact | 8644039150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 | 1801568225 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801568225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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