| NPI | 1487297164 |
|---|---|
| Doing Business As | VITALITY SPRINGS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TODD DEAVENS Owner/Member 770-925-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-12-19 |