Vitality Mens Health and Wellness, LLC
NPI #1427331982 in Germantown, Tennessee
Provider Information
- NPI Number
- 1427331982
- Entity Type
- Organization
- Organization Name
- Vitality Mens Health and Wellness, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 21, 2011
- Last Updated
- Jan 19, 2012
Practice Location
- Address
- 6655 POPLAR AVE
- Address 2
- SUITE 204
- City
- Germantown
- State
- Tennessee
- ZIP Code
- 38138-3691
- Phone
- (901) 751-4477
Authorized Official
- Name
- MRS. CHRISTY LONG
- Title
- CREDENTIALING
- Phone
- (901) 737-1992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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