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Organization

VITALITY PLUS PA

Active
Other names
Vitality Center of Charlotte
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL TROMBLEY (DISPENSING PHYSICIAN)
(704) 334-6488
Entity
Organization

Contact information

Practice address
300 BILLINGSLEY RD, SUITE 204, CHARLOTTE, NC 28211-1075
(704) 334-6488
Mailing address
300 BILLINGSLEY RD, SUITE 204, CHARLOTTE, NC 28211-1075
(704) 334-6488

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
9400162
NC

Other

Enumeration date
12/15/2014
Last updated
12/15/2014
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