Organization · Type 2 NPI
Vitality Anti-Aging Center and Med Spa
Medical Physician Assistant · Hickory, NC
NPI number
1285751008
Active
Practice location
74 8th St SE, Suite 101
Hickory, NC 28602-1130
Fax (828) 322-2835
Mailing address
74 8th Street SE, Suite 101
Hickory, NC 28602-4942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Hickory
About NPI 1285751008
Vitality Anti-Aging Center and Med Spa's National Provider Identifier is 1285751008, issued on Mar 25, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hickory, NC. The record was last updated on Nov 24, 2014.