VITALITY WELLNESS CLINIC LLC is a specialist in D'iberville, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VITALITY WELLNESS CLINIC LLC NPI is 1760741698. The provider is registered as an organization entity type and is a multi-specialty group. The provider Is Doing Business As Vitality Medical Clinic And Spa.
The provider's business location address is:
3200 MALLETT RD D-3 D'IBERVILLE, MS ZIP 39540-305 Phone: (228) 392-0900 Fax: (228) 392-0902
The provider's authorized official is Jason Bradley Crowder . The authorized official title is Owner and has the following contact phone number (251) 591-9769.
The enumeration date for this NPI number is 5/12/2012 and was last updated on 8/28/2012.
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:
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: 3/30/2025
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