Organization
VITAL LIFE CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ELLIS MAYFIELD JR. D.C. (PRESIDENT)
(404) 578-8564
Entity
Organization
Contact information
Practice address
111 FAIRVIEW POINTE DR, SIMPSONVILLE, SC 29681-3223
(864) 228-6500
Mailing address
PO BOX 1297, SIMPSONVILLE, SC 29681-1297
(864) 228-6500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3804
SC
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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