# VITALITY MEDICAL CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitality Spine Center, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982999249
- **Authorized official:** JASON B FARMER (OWNER)
- **Authorized official phone:** (803) 244-9212

## Contact information

- **Practice address:** 101 MEDICAL CIR STE A, WEST COLUMBIA, SC 29169-3650
- **Practice address phone:** (803) 244-9212
- **Practice address fax:** (803) 708-0865
- **Mailing address:** PO BOX 7227, WEST COLUMBIA, SC 29171-7227
- **Mailing address phone:** (803) 244-9212

## 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:** 06/15/2011
- **Last updated:** 08/30/2024