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Organization
VICTORY TREATMENT PROGRAM, LLC
Active
Organization
VICTORY TREATMENT PROGRAM, LLC
Active
Other names
Maltman Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY R. MALTMAN NP (OWNER)
(865) 337-7812
Entity
Organization
Contact information
Practice address
9051 EXECUTIVE PARK DR STE 202, KNOXVILLE, TN 37923-4626
(865) 337-7812
(865) 240-3539
Mailing address
9051 EXECUTIVE PARK DR STE 202, KNOXVILLE, TN 37923-4626
(865) 337-7812
(865) 240-3539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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