Individual
VICTOR M. CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3701
Mailing address
PO BOX 5661, ATHENS, GA 30604-5661
(706) 354-5770
(706) 354-5769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023720
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000267803V
—
GA
Enumeration date
10/11/2005
Last updated
10/08/2021
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