Organization
VITALITY ANTI-AGING CENTER AND MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE MCLAURIN PA (OWNER)
(828) 322-1498
Entity
Organization
Contact information
Practice address
74 8TH ST SE, SUITE 101, HICKORY, NC 28602-1130
(828) 322-1498
(828) 322-2835
Mailing address
74 8TH STREET SE, SUITE 101, HICKORY, NC 28602-4942
(828) 322-1498
(828) 322-2835
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/25/2007
Last updated
11/24/2014
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