Vitality Healthcare Services LLC
NPI #1063089266 in Clinton, South Carolina
Provider Information
- NPI Number
- 1063089266
- Entity Type
- Organization
- Organization Name
- Vitality Healthcare Services LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 7, 2021
- Last Updated
- Oct 4, 2021
Practice Location
- Address
- 400 PLAZA CIR STE G
- City
- Clinton
- State
- South Carolina
- ZIP Code
- 29325-7558
- Phone
- (864) 403-9150
Authorized Official
- Name
- MR. TYRONE G ROBERSON SR., APRN
- Title
- NURSE PRACTITIONER
- Phone
- (864) 384-5277
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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