Vital Path Medical Group LLC
NPI #1700747821 in South Pittsburg, Tennessee
Provider Information
- NPI Number
- 1700747821
- Entity Type
- Organization
- Organization Name
- Vital Path Medical Group LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 19, 2025
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 4495 S PITTSBURG MOUNTAIN RD
- City
- South Pittsburg
- State
- Tennessee
- ZIP Code
- 37380-6191
- Phone
- (423) 883-2262
Authorized Official
- Name
- KRISTIN MICHELLE FLAKE, APRN, FNP-BC
- Title
- NURSE PRACTITIONER
- Phone
- (423) 883-2262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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