Organization
VITALITY REHAB & WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYNA MOORE DC (CLINIC DIRECTOR)
(678) 871-6437
Entity
Organization
Contact information
Practice address
1115 MOUNT ZION RD STE 15, MORROW, GA 30260-2241
(678) 871-6437
Mailing address
4117 STACY LN, SNELLVILLE, GA 30039-6193
(502) 802-0569
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174862122
NPI
—
Enumeration date
10/22/2018
Last updated
10/22/2018
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