| Doctor Name: | DR. GEORGE ROBERT VITO |
| NPI Number: | 1003888298 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | N005120 |
| Business Practice Address: | 533 Brookdale Dr Statesville, NC - 286774107 |
| Business Phone Number: | 7048722028 |
| Business Fax Number: | 7048723390 |
| Mailing Address: | Po Box 24561, WINSTON SALEM |
| State: | NC |
| Postal Code: | 271144561 |
| Phone Number: | 3366186961 |
| Fax Number: | 3367933051 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 01/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | N005120 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |