Organization
FALCON MEDICAL GROUP
Active
Other names
Victory Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER SCOTT JACKSON (ORGANIZER)
(706) 951-9050
Entity
Organization
Contact information
Practice address
1301 BROAD ST, SUITE 102, AUGUSTA, GA 30901-1055
(706) 723-5894
Mailing address
PO BOX 12308, AUGUSTA, GA 30914-2308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/10/2011
Last updated
04/15/2013
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