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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