Organization
VITALIS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GOODWIN FNP (MEDICAL DIRECTOR)
(423) 902-9667
Entity
Organization
Contact information
Practice address
3091 BATTLEFIELD PKWY, FT OGLETHORPE, GA 30742-4003
(423) 902-9667
Mailing address
3091 BATTLEFIELD PKWY, FT OGLETHORPE, GA 30742-4003
(706) 841-0500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
08/21/2020
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