Organization
VIBRANCE MEDICAL SPA & WELLNESS CENTER, PLLC
Active
Organization
VIBRANCE MEDICAL SPA & WELLNESS CENTER, PLLC
Active
Other names
Vibrance Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIAM M DANIEL MD (CEO)
(252) 830-9001
Entity
Organization
Contact information
Practice address
1006B WH SMITH BLVD, GREENVILLE, NC 27834-5051
(252) 830-9001
(252) 830-9002
Mailing address
1025 WH SMITH BLVD STE 106, GREENVILLE, NC 27834-5278
(252) 830-9001
(252) 830-9002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9401167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927025
—
NC
Enumeration date
08/31/2006
Last updated
01/06/2015
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