Organization
VITALITY MEDICAL CENTERS OF FORT MILL INC
Active
Organization
VITALITY MEDICAL CENTERS OF FORT MILL INC
Active
Other names
VMC of Fort Mill
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA DENNAE HANDFORD (OWNER)
(803) 218-9886
Entity
Organization
Contact information
Practice address
1670 HIGHWAY 160 W STE 201, FORT MILL, SC 29708-8064
(803) 560-6991
Mailing address
PO BOX 1320, LEXINGTON, SC 29071-1320
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/14/2017
Last updated
10/26/2017
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