James D Victory is a Chiropractor in Gautier, Mississippi. James D Victory practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for James D Victory is 1881781631. The last update date is 2018-08-29.
James D Victory's current location address is P.o. Box 760, Gautier, Mississippi. You can contact this provider via phone number 2284979907 and fax number 2284979917. The mailing address for James D Victory is P.o. Box 760, Gautier, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James D Victory |
|---|---|
| Address | P.o. Box 760, Gautier, Mississippi |
| Phone Number | 2284979907 |
| Fax Number | 2284979917 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1881781631 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2018-08-29 |
Provider Mailing Address Detail
| Address | P.o. Box 760 |
|---|---|
| City | Gautier |
| State | Mississippi (MS) |
| Post Code | 39553 |
| Phone Number | 2284979907 |
| Fax Number | 2284979917 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 980 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64-0931880 | MS | TAX ID # | |
| 123096 | MS | -- | |
| 1866765 | MS | FRIST HEALTH PROVIDER # | |
| 645632 | MS | UNITED HEALTHCARE PROVIDE | |
| 7614197 | MS | AETNA PROVIDER # | |
| 8755862 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James D Victory by the Centers for Medicare & Medicaid Services?
The James D Victory has been assigned the NPI (National Provider Identifier) 1881781631 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where James D Victory's facilities are situated?
The facilities of James D Victory are physically located at the following address: P.O. Box 760, Gautier, MS, 39553.
What is James D Victory's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James D Victory is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date was the 1881781631 assigned to James D Victory?
The James D Victory was issued its 1881781631 on 2006-10-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to James D Victory most recently updated or revised?
The information pertaining to James D Victory, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-29.
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