| Vitality Medical Services, Pllc | |
|
2632 Fines Creek Dr Statesville NC 28625-4441 | |
| (704) 728-9509 | |
| Not Available |
| Full Name | Vitality Medical Services, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 2632 Fines Creek Dr, Statesville, North Carolina |
| Authorized Official Name and Position | Richard Pavelock (OWNER) |
| Authorized Official Contact | 7048808665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Medical Services, Pllc 2632 Fines Creek Dr Statesville NC 28625-4441 Ph: () - | Vitality Medical Services, Pllc 2632 Fines Creek Dr Statesville NC 28625-4441 Ph: (704) 728-9509 |
| NPI Number | 1508237496 |
|---|---|
| Provider Enumeration Date | 10/17/2015 |
| Last Update Date | 10/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508237496 | NPI | - | NPPES |
| 196006 | Other | NC MEDICAL BOARD CERTIFICATE | |
| 8966248 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 39460 (North Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Brookdale Dr, Statesville, NC 28677 Phone: 704-838-8249 Fax: 704-495-3057 | |
Nuvu Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Sullivan Rd, Statesville, NC 28677 Phone: 980-434-5426 | |
Sound Physicians Of North Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-873-0281 Fax: 704-838-7287 | |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 Fax: 704-872-2484 | |
Statesville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Davie Ave, Statesville, NC 28677 Phone: 704-873-3269 Fax: 704-871-8159 | |
Novant Health Primary Care Fern Creek Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Fern Creek Dr, Statesville, NC 28625 Phone: 704-978-2250 Fax: 704-978-2258 | |
Cuong Tan Doan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 800-409-2919 |