institution
Vital Med Llc
Primary Care Clinic/Center in Booneville, Mississippi
NPI 1710517347

Vital Med Llc is a Primary Care Clinic/Center based in Booneville, MS and is specialized in Primary Care. Vital Med Llc practices in Booneville, MS. The NPI Number for Vital Med Llc is 1710517347 and holds a License No. (Mississippi).

The current practice location address for Vital Med Llc is 103 Ridgemont Villa, Booneville, MS and can be reached out via phone at 662-368-3858 and via fax at 662-368-3931.

Location: 103 Ridgemont Villa, Booneville, MS, 38829-1010
institution
Provider Profile Details
NPI Number
1710517347
Provider Name
Vital Med Llc
Credential
Provider Entity Type
Organization
Address
103 Ridgemont Villa, Booneville, MS, 38829-1010
Phone Number
662-368-3858
Fax Number
662-368-3931
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02056754 05 MS
institution
Provider Business Practice Location Address Details
Address
103 Ridgemont Villa
City
State
Zip
38829-1010
Phone Number
662-368-3858
Fax Number
662-368-3931
person
Provider Business Mailing Address Details
Address
103 Ridgemont Villa
City
State
Zip
38829-1010
Phone Number
662-368-3858
Fax Number
662-368-3931
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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