| Vitalogy Wellness Center | |
|
2704 20th Street South Suite 104 Homewood AL 35209 | |
| (205) 413-8599 | |
| (205) 383-2425 |
| Full Name | Vitalogy Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2704 20th Street South, Homewood, Alabama |
| Authorized Official Name and Position | Farah Taj Sultan (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2054138599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalogy Wellness Center 2704 20th Street South Suite 104 Homewood AL 35209 Ph: (205) 413-8599 | Vitalogy Wellness Center 2704 20th Street South Suite 104 Homewood AL 35209 Ph: (205) 413-8599 |
| NPI Number | 1619397247 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619397247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AL24915 (Alabama) | Primary |
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