Organization
VITL HEARTS HTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA ROBINSON VICE PRESIDENT (ADMINISTOR)
(404) 932-1667
Entity
Organization
Contact information
Practice address
122 S 13TH ST, GRIFFIN, GA 30223-2745
(404) 932-1667
(470) 204-7303
Mailing address
122 S 13TH ST, GRIFFIN, GA 30223-2745
(404) 932-1667
(470) 204-7303
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
9363
GA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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