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Contact Information

VITAL PERSONALIZED HEALTHCARE, LLC
23 PLANTATION PARK DR
BLDG 400
BLUFFTON, SC29910
 Phone: 803-460-5699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VITAL PERSONALIZED HEALTHCARE LLC · (Female)

NPI # 1245772672
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2016
Last updated 05/22/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # MDO 985 DO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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