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1275357063
VITALMED
CONYERS, GA
NPI
1275357063
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Entity Type
Organization
Authorized Contact
TIA DENAE KING
Nurse Practitioner
561-449-1129
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
VITALMED
3502 MCCALLISTER LN
CONYERS, GA 30013-7500
Phone number: 561-449-1129
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Mailing Address
VITALMED
3502 MCCALLISTER LN
CONYERS, GA 30013-7500
Phone number: 561-449-1129
Copy
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