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Organization
VITAL LIFE CHIROPRACTIC CENTER, PC
Active
Organization
VITAL LIFE CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ELLIS MAYFIELD JR. D.C. (PRESIDENT)
(404) 578-8564
Entity
Organization
Contact information
Practice address
111 FAIRVIEW POINTE DR, SIMPSONVILLE, SC 29681-3223
(864) 228-6500
Mailing address
PO BOX 1297, SIMPSONVILLE, SC 29681-1297
(864) 228-6500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3804
SC
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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