Organization
VITALITY HEALTH NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCY MARTINEZ (OFFICE MANAGER)
(843) 410-0330
Entity
Organization
Contact information
Practice address
3100 DICK POND RD UNIT E, MYRTLE BEACH, SC 29588-7286
(843) 410-0330
Mailing address
3100 DICK POND RD UNIT E, MYRTLE BEACH, SC 29588-7286
(843) 410-0330
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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