Organization
VITALITY HEALTHCARE INC
Active
Organization
VITALITY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON GIBSON III DC, PH.D. (CEO)
(404) 477-2300
Entity
Organization
Contact information
Practice address
554 NORTH AVE NW STE C, ATLANTA, GA 30318-6909
(404) 477-2300
(404) 477-2301
Mailing address
33 BLUE RIDGE TRL, POWDER SPRINGS, GA 30127-6877
(678) 467-0587
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
111NS0005X
Sports Physician Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/04/2021
Last updated
10/25/2021
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