| NPI | 1447073085 |
|---|---|
| Doing Business As | VITALEDGE HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | PEGGY DARLENE TROYER Nurse Practitioner 770-714-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |