VITALITY ANTI-AGING CENTER AND MED SPA is a medical physician assistant in Hickory, NC. VITALITY ANTI-AGING CENTER AND MED SPA NPI is 1285751008. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
74 8TH ST SE
SUITE 101
HICKORY, NC
ZIP 28602-130
Phone: (828) 322-1498
Fax: (828) 322-2835
The provider's authorized official is Grace Mclaurin .
The authorized official title is Owner and has the following contact phone number (828) 322-1498.
The CLIA number assigned to this NPI record is 34D1068364 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/25/2007 and was last updated on 11/24/2014.