NPI | 1972021301 |
---|---|
Doing Business As | VITAL LIVING HEALTHCARE, LLC |
Entity Type | Organization |
Authorized Contact | PAUL E. COX Owner 678-362-0820 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 049762) |
Enumeration Date | 2017-09-06 |
Last Update Date | 2018-11-30 |