Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vitality Ageless Center LLC

Organization Family Medicine Physician · NPI 1730657271

Vitality Ageless Center LLC is a Family Medicine Physician in Suwanee, Georgia. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Vitality Ageless Center Llc 1300 Peachtree Industrial Blvd #1201
Suwanee, GA 30024-4686
Phone: (770) 614-6266
Fax: (770) 623-9949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 W Granada Blvd Ste E2, Ormond Beach, FL 32174-9401 — (386) 260-0265

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Home Health Agency Taxonomy 251E00000X
Clinic/Center Taxonomy 261Q00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1730657271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Yu — Owner · (770) 614-6266
Other names Vitality Ageless Center Llc; Vitality Ageless Center Llc
NPI enumeratedNovember 2, 2018
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address1300 Peachtree Industrial Blvd Ste 1201, Suwanee, GA 30024-4550

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