Organization
VITALITY MEDICAL CENTERS OF CHARLESTON INC
Active
Other names
VMC of Charleston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON B FARMER (OWNER)
(803) 244-9212
Entity
Organization
Contact information
Practice address
2679 LAKE PARK DR, NORTH CHARLESTON, SC 29406-9100
(843) 480-0855
Mailing address
PO BOX 7227, WEST COLUMBIA, SC 29171-7227
(803) 244-9212
(803) 708-0865
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/13/2017
Last updated
03/05/2025
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