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Organization
VITALITY HEALTH PRIMARY CARE LLC
Active
Organization
VITALITY HEALTH PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARNELLA CROWDER (OWNER/FNP-C)
(404) 704-6283
Entity
Organization
Contact information
Practice address
360 RACETRACK RD, MCDONOUGH, GA 30252-1022
(470) 377-6282
Mailing address
1406 LANDON DR, LOCUST GROVE, GA 30248-2462
(404) 704-6283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/04/2024
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