Healthcare Provider Details

I. General information

NPI: 1942137070
Provider Name (Legal Business Name): REAL-TIME VITALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 MILL CREEK RD
CLOVER SC
29710-8180
US

IV. Provider business mailing address

5105 MILL CREEK RD
CLOVER SC
29710-8180
US

V. Phone/Fax

Practice location:
  • Phone: 704-689-4509
  • Fax:
Mailing address:
  • Phone: 704-689-4509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA CHAVERS
Title or Position: OWNER
Credential:
Phone: 704-689-4509