Organization · Type 2 NPI
Vitality Ageless Center LLC
Multi-Specialty Clinic/Center · Suwanee, GA
NPI number
1730657271
Active
Practice location
Vitality Ageless Center Llc, 1300 Peachtree Industrial Blvd #1201
Suwanee, GA 30024-4686
Fax (770) 623-9949
Mailing address
1300 Peachtree Industrial Blvd Ste 1201
Suwanee, GA 30024-4550
Other practice locations
- 555 W Granada Blvd Ste E2, Ormond Beach, FL 32174-9401 · (386) 260-0265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Other multi-specialty clinic/center providers in Suwanee
About NPI 1730657271
Vitality Ageless Center LLC's National Provider Identifier is 1730657271, issued on Nov 2, 2018. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Suwanee, GA. The record was last updated on May 9, 2024.