Organization · Type 2 NPI
Vital Path Medical Group LLC
Family Nurse Practitioner · South Pittsburg, TN
NPI number
1700747821
Active
Practice location
4495 S Pittsburg Mountain Rd
South Pittsburg, TN 37380-6191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1700747821
Vital Path Medical Group LLC's National Provider Identifier is 1700747821, issued on Nov 19, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Pittsburg, TN. The record was last updated on Nov 19, 2025.