Organization
VITALITY HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE G ROBERSON SR. APRN (NURSE PRACTITIONER)
(864) 403-9150
Entity
Organization
Contact information
Practice address
400 PLAZA CIR STE G, CLINTON, SC 29325-7558
(864) 403-9150
Mailing address
400 PLAZA CIR STE G, CLINTON, SC 29325-7558
(864) 403-9150
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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