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Contact Information

VITALITY MEDICAL LLC
16415 NORTHCROSS DR
SUITE A
HUNTERSVILLE, NC28078-5001
 Phone: 704-895-5448
 Fax: 704-896-1761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for VITALITY MEDICAL LLC

NPI Number 1639539455
LBN Legal business name VITALITY MEDICAL LLC
Authorized official JASON PATTEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2016
Last updated 03/07/2016 - About 10 years ago
Identifiers
NC License # 2014-01121
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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