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Organization
VITALE MEDICAL INC
Active
Organization
VITALE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUELITA BHUIYAN (ADMINISTRATOR)
(770) 990-6811
Entity
Organization
Contact information
Practice address
3290 MEMORIAL DR STE B1, DECATUR, GA 30032-3400
(404) 534-9692
Mailing address
PO BOX 350, DULUTH, GA 30096-0006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
067173
GA
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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