Organization
VICTORY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D VICTORY DC (OWNER/DOCTOR)
(228) 497-9907
Entity
Organization
Contact information
Practice address
315 HIGHWAY 90, GAUTIER, MS 39553-6340
(228) 497-9907
(228) 497-9917
Mailing address
PO BOX 760, GAUTIER, MS 39553-0760
(228) 497-9907
(228) 497-9917
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
980
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123096
—
MS
05
—
08755862
—
MS
Enumeration date
04/28/2009
Last updated
04/28/2009
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