Vital Med LLC

NPI #1710517347 in Booneville, Mississippi

Provider Information

NPI Number
1710517347
Entity Type
Organization
Organization Name
Vital Med LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jan 23, 2020
Last Updated
Jan 23, 2020

Practice Location

Address
103 RIDGEMONT VILLA
ZIP Code
38829-1010
Phone
(662) 368-3858

Authorized Official

Name
DESIREE BROOKE HAUGH, NP
Title
OWNER/NP
Phone
(662) 368-3858

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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