Organization
VITALITY HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADEBUSOLA CORDOVA (OWNER)
(770) 875-7691
Entity
Organization
Contact information
Practice address
2852 DELK RD SE, SUITE 201, MARIETTA, GA 30067-6371
(770) 875-7691
Mailing address
2852 DELK RD SE, SUITE 201, MARIETTA, GA 30067-6371
(770) 875-7691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO08571
GA
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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