person
Mr. James D Victory, DC
Chiropractor in Gautier, Mississippi
NPI 1881781631

James D Victory is a Chiropractor based in Gautier, MS. James D Victory practices in Gautier, MS and has the professional credentials of DC. The NPI Number for James D Victory is 1881781631 and holds a License No. 980 (Mississippi).

The current practice location address for James D Victory is 315 Highway 90, Gautier, MS and can be reached out via phone at 228-497-9907 and via fax at 228-497-9917.

Location: 315 Highway 90, Gautier, MS, 39553
person
Provider Profile Details
NPI Number
1881781631
Provider Name
James D Victory
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
315 Highway 90, Gautier, MS, 39553
Phone Number
228-497-9907
Fax Number
228-497-9917
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64-0931880 01 MS TAX ID #
00123096 05 MS
1866765 01 MS FRIST HEALTH PROVIDER #
645632 01 MS UNITED HEALTHCARE PROVIDE
7614197 01 MS AETNA PROVIDER #
08755862 05 MS
institution
Provider Business Practice Location Address Details
Address
315 Highway 90
City
State
Zip
39553
Phone Number
228-497-9907
Fax Number
228-497-9917
person
Provider Business Mailing Address Details
Address
315 Highway 90
City
State
Zip
39553
Phone Number
228-497-9907
Fax Number
228-497-9917
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
980 (Mississippi)
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 interrelationship with other body systems.
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