VITAL MED LLC is a primary care clinic center in Booneville, MS. VITAL MED LLC NPI is 1710517347. The provider is registered as an organization entity type.
The provider's business location address is:
103 RIDGEMONT VILLA
BOONEVILLE, MS
ZIP 38829-010
Phone: (662) 368-3858
Fax: (662) 368-3931
The provider's authorized official is Desiree Brooke Haugh .
The authorized official title is Owner/np and has the following contact phone number (662) 368-3858.
The CLIA number assigned to this NPI record is 25D2139800 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/23/2020 and was last updated on 1/23/2020.