Organization
VITAL PERSONALIZED HEALTHCARE, LLC
Active
Other names
Coastal Concierge Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER W. LEBLANC DO (OWNER/PHYSICIAN)
(843) 815-5566
Entity
Organization
Contact information
Practice address
23 PLANTATION PARK DR, BLDG 400, BLUFFTON, SC 29910
(803) 460-5699
Mailing address
23 PLANTATION PARK DR STE B, BLUFFTON, SC 29910-6038
(803) 460-5699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDO 985 DO
SC
Other
Enumeration date
11/16/2016
Last updated
05/22/2018
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