# VITALITY MEDICAL CENTERS OF FORT MILL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VMC of Fort Mill
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467991109
- **Authorized official:** ELISA DENNAE HANDFORD (OWNER)
- **Authorized official phone:** (803) 218-9886

## Contact information

- **Practice address:** 1670 HIGHWAY 160 W STE 201, FORT MILL, SC 29708-8064
- **Practice address phone:** (803) 560-6991
- **Mailing address:** PO BOX 1320, LEXINGTON, SC 29071-1320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 10/26/2017