Organization
VITALITY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R PATTEN MD (OWNER)
(334) 717-1073
Entity
Organization
Contact information
Practice address
16415 NORTHCROSS DR, SUITE A, HUNTERSVILLE, NC 28078-5001
(704) 895-5448
(704) 896-1761
Mailing address
12228 JOURNEYS END TRL, HUNTERSVILLE, NC 28078-2422
(704) 895-5448
(704) 896-1761
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
2014-01121
NC
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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