| Victory Chiropractic Center | |
|
315 Highway 90, Gautier, MS 39553-6340 | |
| (228) 497-9907 | |
| (228) 497-9917 |
| Full Name | Victory Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 315 Highway 90, Gautier, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447494950 | NPI | - | NPPES |
| 00123096 | Medicaid | MS | |
| 08755862 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 980 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Chiropractic Center Po Box 760, Gautier, MS 39553-0760 Ph: (228) 497-9907 | Victory Chiropractic Center 315 Highway 90, Gautier, MS 39553-6340 Ph: (228) 497-9907 |
Gautier Chiropractic Group Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3105 Shaw Drive, Gautier, MS 39553 Phone: 228-202-5106 Fax: 228-202-5107 | |
Mr. James D Victory, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 315 Highway 90, Gautier, MS 39553 Phone: 228-497-9907 Fax: 228-497-9917 |