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1649011842
VITALITY HEALTH PRIMARY CARE LLC
MCDONOUGH, GA
NPI
1649011842
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Entity Type
Organization
Authorized Contact
DARNELLA CROWDER
Owner/Fnp C
404-704-6283
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2024-06-03
Last Update Date
2024-06-04
Business Address
VITALITY HEALTH PRIMARY CARE LLC
360 RACETRACK RD
MCDONOUGH, GA 30252-1022
Phone number: 470-377-6282
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Mailing Address
VITALITY HEALTH PRIMARY CARE LLC
1406 LANDON DR
LOCUST GROVE, GA 30248-2462
Phone number: 404-704-6283
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