| Vytalize Health | |
|
1071 E Franklin St Carthage MS 39051-3601 | |
| (601) 267-4562 | |
| Not Available |
| Full Name | Vytalize Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1071 E Franklin St, Carthage, Mississippi |
| Authorized Official Name and Position | Faris Ghawi (CEO / CO-FOUNDER) |
| Authorized Official Contact | 2022866666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vytalize Health 2 Hudson Pl Fl 6 Hoboken NJ 07030-5594 Ph: (201) 205-2628 | Vytalize Health 1071 E Franklin St Carthage MS 39051-3601 Ph: (601) 267-4562 |
| NPI Number | 1568083533 |
|---|---|
| Provider Enumeration Date | 05/01/2020 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568083533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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