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Organization
VITALITY MEDICAL CENTERS OF CHARLESTON INC
Active
Organization
VITALITY MEDICAL CENTERS OF CHARLESTON INC
Active
Other names
VMC of Charleston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON B FARMER (OWNER)
(803) 244-9212
Entity
Organization
Contact information
Practice address
2679 LAKE PARK DR, NORTH CHARLESTON, SC 29406-9100
(843) 480-0855
Mailing address
PO BOX 7227, WEST COLUMBIA, SC 29171-7227
(803) 244-9212
(803) 708-0865
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
02/13/2017
Last updated
03/05/2025
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