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Individual

VICTORIA T MANSOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3312 NORTHSIDE DR STE A110, MACON, GA 31210-2520
(478) 477-2314
(478) 477-3599
Mailing address
3312 NORTHSIDE DR STE A110, MACON, GA 31210-2520
(478) 477-2314
(478) 477-3599

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
054495
GA

Other

Enumeration date
08/11/2006
Last updated
11/20/2007
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