Healthcare Provider Details

I. General information

NPI: 1376316851
Provider Name (Legal Business Name): VITAL HEALTH SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3652 CHAMBLEE DUNWOODY RD STE 3
ATLANTA GA
30341-2120
US

IV. Provider business mailing address

3652 CHAMBLEE DUNWOODY RD STE 3
ATLANTA GA
30341-2120
US

V. Phone/Fax

Practice location:
  • Phone: 770-485-0575
  • Fax: 877-411-0199
Mailing address:
  • Phone: 770-485-0575
  • Fax: 877-411-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: JITENDRA CHAUDHARI
Title or Position: MEMBER
Credential:
Phone: 770-485-0575