Pack, Vitia Angela
Pack, Vitia Angela is an individual health care provider with primary practice located at 49 Hosiery Mill Rd Ste 124 , Dallas GA 30157-1688. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pack, Vitia Angela can be contacted via phone (770) 443-6111.Contact Information
Primary practice address
49 Hosiery Mill Rd Ste 124
Dallas GA 30157-1688
Phone: (770) 443-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9106235 | Florida |
Profile Details
| NPI number | 1013133826 |
|---|---|
| LBN Legal business name | Pack, Vitia Angela |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Apr 29th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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