VITALITY AGELESS CENTER LLC NPI 1730657271

NPI Information

  • NPI: 1730657271
  • Provider Name: VITALITY AGELESS CENTER LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: VITALITY AGELESS CENTER LLC
  • Address: VITALITY AGELESS CENTER LLC
    1300 PEACHTREE INDUSTRIAL BLVD #1201
    SUWANEE, GA
    ZIP 30024
  • Phone: (770) 614-6266

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NPI Details

VITALITY AGELESS CENTER LLC is a multi-specialty clinic center in Suwanee, GA. VITALITY AGELESS CENTER LLC NPI is 1730657271. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vitality Ageless Center Llc.

The provider's business location address is:

VITALITY AGELESS CENTER LLC
1300 PEACHTREE INDUSTRIAL BLVD #1201
SUWANEE, GA
ZIP 30024-686
Phone: (770) 614-6266
Fax: (770) 623-9949

The provider's authorized official is Julie Yu .
The authorized official title is Owner and has the following contact phone number (770) 614-6266.

The enumeration date for this NPI number is 11/2/2018 and was last updated on 5/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2251E00000XHome HealthNo
3261Q00000XClinic/CenterNo
4261QM1300XClinic/CenterMulti-SpecialtyYes
5332B00000XDurable Medical Equipment & Medical SuppliesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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