Individual
MR. JAMES D VICTORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
315 HIGHWAY 90, GAUTIER, MS 39553
(228) 497-9907
(228) 497-9917
Mailing address
P.O. BOX 760, GAUTIER, MS 39553
(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
01
—
1866765
FRIST HEALTH PROVIDER #
MS
01
—
64-0931880
TAX ID #
MS
01
—
645632
UNITED HEALTHCARE PROVIDE
MS
01
—
7614197
AETNA PROVIDER #
MS
Enumeration date
10/05/2006
Last updated
08/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us