NPI 1154872448

Vibrant Living Wellness Center

Organisation Point of Service Jesup, GA

Practice location

Address: 180 W Walnut St, Jesup, GA 31545-1325
Phone: (912) 424-2871
Fax: (912) 307-3874

Authorised official

Name: Leona Harter
Title: Owner/Acupuncturist
Phone: (912) 424-2871

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 294 (GA)

Other Point of Service providers in Georgia →

Registry record

NPI: 1154872448
Entity type: Organization
NPI issued: 21 Oct 2016
Record last updated: 21 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.