| NPI | 1629689310 |
|---|---|
| Doing Business As | VITALITY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | LARY RICHARD KORN Medical Director 864-266-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-10-06 |